Rendimiento diagnostico de la biopsia pulmonar por toracotomia en la enfermedad pulmonar difusa. Resultados sobre 94 casos
The diagnostic uselfuness of pulmonary biopsy by thoracotomy in diffuse pulmonary disease. results in 94 cases
J. Morera Prat, J. Ruiz Manzano, E. Fite, J. Oriol, L. Bernado, A. Aranda, F. Morell, R. Vidal, C. Plans
Sección de Neumología. Departamento de Medicina Interna. C. S. Francisco Franco Barcelona
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"apellidos" => "Puzo Ardanuy" ] 5 => array:2 [ "nombre" => "R." "apellidos" => "Cornudella" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615323723?idApp=UINPBA00003Z" "url" => "/03002896/0000001800000002/v1_201509151137/S0300289615323723/v1_201509151137/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Rendimiento diagnostico de la biopsia pulmonar por toracotomia en la enfermedad pulmonar difusa. Resultados sobre 94 casos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "61" "paginaFinal" => "68" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "J. Morera Prat, J. Ruiz Manzano, E. Fite, J. Oriol, L. Bernado, A. Aranda, F. Morell, R. Vidal, C. Plans" "autores" => array:9 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Morera Prat" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Ruiz Manzano" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Fite" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Oriol" ] 4 => array:2 [ "nombre" => "L." "apellidos" => "Bernado" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Aranda" ] 6 => array:2 [ "nombre" => "F." "apellidos" => "Morell" ] 7 => array:2 [ "nombre" => "R." "apellidos" => "Vidal" ] 8 => array:2 [ "nombre" => "C." "apellidos" => "Plans" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Sección de Neumología. Departamento de Medicina Interna. C. S. Francisco Franco Barcelona" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "The diagnostic uselfuness of pulmonary biopsy by thoracotomy in diffuse pulmonary disease. results in 94 cases" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1980-04-14" "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="absec0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se ha revisado el rendimiento diagnóstico de la biopsia pulmonar quirúrgica por minitoracotomía (BPQ) en una serie de 94 pacientes con enfermedad pulmonar difusa (EPD) estudiados en nuestro departamento desde enero de 1973 a diciembre de 1979.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se obtuvo un diagnóstico de certeza en un 91,5 %, y un diagnóstico inespecífico de un 6,4 %. En un caso (1,1 %) el diagnóstico se consideró incompleto, y en otro caso (1,1 %) no se obtuvo ningún diagnóstico. En 9 casos (10 %) se obtuvieron otros diagnósticos de importancia, adicionalmente a los fundamentales. La mortalidad debida al procedimiento fue de un 1,1 %. En más del 50 % de los casos el diagnóstico no había sido sospechado. Previamente se habían practicado al conjunto de pacientes, 49 exploraciones invasivas que no fueron consideradas diagnósticas.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Estos resultados son parecidos a los obtenidos por otras series de la literatura. Se comentan algunos aspectos de las indicaciones y contraindicaciones, así como algunas medidas a tomar rutinariamente para aumentar el rendimiento y disminuir el riesgo y morbilidad del procedimiento diagnóstico.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Aunque la publicación no aborda el tema des de un punto de vista quirúrgico, los resultados no son contrarios al empleo de la BPQ en el territorio de la língula, aspecto controvertido en la literatura.</p></span>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span id="absec0010" class="elsevierStyleSection elsevierViewall"><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The diagnostic valué of surgical biopsy of the lung through mini-thoracotomy was evaluated in a series of 94 patients with diffuse pulmonary disease who were studied between January 1973 and December 1979.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Definite diagnoses were established in 91.5 % and non-specific diagnoses 6.4 %. In one case (1.1 %) the diagnosis was incomplete while no diagnosis could be established in another one (1.1 %). In 9 cases (10 %) other processes were diagnosed besides the pulmonary disease.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The mortality rate due to the biopsy was 1.1 %. In more than 50 % of all cases, the diagnoses were unexpected. All 49 patients had undergone invasive explorations without diagnoses being established. These results are in agreement with those of other authors. The indications and contra-indications for lung biopsy, routine measures to increase the effectiveness and routine precautions to reduce risk to the patient are discussed.</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Although this report has no direct bearing on surgical procedures, it is noteworthy that these results may be applicable to lingular biopsies, the use of which is still a matter of controvery.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:44 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Biopsy of diffuse pulmonary lesions" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "K.P. Klassen" 1 => "A.J. Anylan" 2 => "G.M. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 2 | 1 | 3 |
| 2024 October | 37 | 20 | 57 |
| 2024 September | 39 | 9 | 48 |
| 2024 August | 42 | 31 | 73 |
| 2024 July | 33 | 18 | 51 |
| 2024 June | 38 | 38 | 76 |
| 2024 May | 28 | 24 | 52 |
| 2024 April | 24 | 26 | 50 |
| 2024 March | 29 | 19 | 48 |
| 2024 February | 24 | 41 | 65 |
| 2023 March | 4 | 2 | 6 |
| 2023 February | 45 | 29 | 74 |
| 2023 January | 41 | 29 | 70 |
| 2022 December | 41 | 28 | 69 |
| 2022 November | 26 | 25 | 51 |
| 2022 October | 32 | 41 | 73 |
| 2022 September | 23 | 27 | 50 |
| 2022 August | 34 | 37 | 71 |
| 2022 July | 29 | 40 | 69 |
| 2022 June | 34 | 37 | 71 |
| 2022 May | 56 | 31 | 87 |
| 2022 April | 59 | 34 | 93 |
| 2022 March | 47 | 37 | 84 |
| 2022 February | 35 | 21 | 56 |
| 2022 January | 35 | 31 | 66 |
| 2021 December | 15 | 23 | 38 |
| 2021 November | 21 | 27 | 48 |
| 2021 October | 21 | 39 | 60 |
| 2021 September | 21 | 32 | 53 |
| 2021 August | 23 | 29 | 52 |
| 2021 July | 25 | 40 | 65 |
| 2021 June | 17 | 33 | 50 |
| 2021 May | 13 | 28 | 41 |
| 2021 April | 66 | 58 | 124 |
| 2021 March | 65 | 19 | 84 |
| 2021 February | 52 | 14 | 66 |
| 2021 January | 27 | 17 | 44 |
| 2020 December | 21 | 15 | 36 |
| 2020 November | 17 | 17 | 34 |
| 2020 October | 23 | 9 | 32 |
| 2020 September | 7 | 15 | 22 |
| 2020 August | 23 | 17 | 40 |
| 2020 July | 22 | 17 | 39 |
| 2020 June | 19 | 4 | 23 |
| 2020 May | 17 | 16 | 33 |
| 2020 April | 23 | 8 | 31 |
| 2020 March | 25 | 15 | 40 |
| 2020 February | 25 | 17 | 42 |
| 2020 January | 29 | 21 | 50 |
| 2019 December | 27 | 12 | 39 |
| 2019 November | 16 | 12 | 28 |
| 2019 October | 7 | 8 | 15 |
| 2019 September | 7 | 30 | 37 |
| 2019 August | 15 | 9 | 24 |
| 2019 July | 4 | 26 | 30 |
| 2019 June | 4 | 22 | 26 |
| 2019 May | 13 | 41 | 54 |
| 2019 April | 30 | 60 | 90 |
| 2019 March | 8 | 27 | 35 |
| 2019 February | 6 | 10 | 16 |
| 2019 January | 4 | 6 | 10 |
| 2018 December | 5 | 8 | 13 |
| 2018 November | 8 | 15 | 23 |
| 2018 October | 11 | 6 | 17 |
| 2018 September | 10 | 9 | 19 |
| 2018 May | 5 | 2 | 7 |
| 2018 April | 4 | 5 | 9 |
| 2018 March | 2 | 8 | 10 |
| 2018 February | 7 | 8 | 15 |
| 2018 January | 7 | 14 | 21 |
| 2017 December | 4 | 10 | 14 |
| 2017 November | 4 | 11 | 15 |
| 2017 October | 7 | 11 | 18 |
| 2017 September | 3 | 12 | 15 |
| 2017 August | 9 | 12 | 21 |
| 2017 July | 9 | 6 | 15 |
| 2017 June | 9 | 20 | 29 |
| 2017 May | 13 | 20 | 33 |
| 2017 April | 6 | 10 | 16 |
| 2017 March | 7 | 13 | 20 |
| 2017 February | 7 | 9 | 16 |
| 2017 January | 7 | 11 | 18 |
| 2016 December | 14 | 11 | 25 |
| 2016 November | 15 | 21 | 36 |
| 2016 October | 20 | 25 | 45 |
| 2016 September | 23 | 21 | 44 |
| 2016 August | 24 | 8 | 32 |
| 2016 July | 30 | 7 | 37 |
| 2016 June | 16 | 6 | 22 |
| 2016 May | 15 | 8 | 23 |
| 2016 April | 6 | 0 | 6 |
| 2016 March | 6 | 0 | 6 |
| 2016 February | 7 | 3 | 10 |
| 2016 January | 22 | 15 | 37 |
| 2015 December | 31 | 14 | 45 |
| 2015 November | 28 | 8 | 36 |
| 2015 October | 6 | 1 | 7 |
| 2015 September | 2 | 0 | 2 |
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