La toracoscopia y biopsia pleural en los derrames pleurales no supurados
Thoracoscopy and pleural biopsy in non suppurated pleural effusions
A. Sueiro Bendito, J. Villamor León, A.E. Delgado Pérez, J.A. Serrano Iglesias, J. Ortíz Vázquez
Servicio de Neumología del Departamento de Medicina Interna de la Ciudad Sanitaria La Paz y Universidad Autónoma de Madrid
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Díaz Fernández, J. Castillo Gómez, E. Rodríguez Becerra, P. Ramis Bisellach, T. Montemayor Rubio, J. López Mejías" "autores" => array:6 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Díaz Fernández" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Castillo Gómez" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Rodríguez Becerra" ] 3 => array:2 [ "nombre" => "P." "apellidos" => "Ramis Bisellach" ] 4 => array:2 [ "nombre" => "T." "apellidos" => "Montemayor Rubio" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "López Mejías" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615326958?idApp=UINPBA00003Z" "url" => "/03002896/0000001300000001/v1_201509151304/S0300289615326958/v1_201509151304/es/main.assets" ] "es" => array:11 [ "idiomaDefecto" => true "titulo" => "La toracoscopia y biopsia pleural en los derrames pleurales no supurados" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "7" "paginaFinal" => "11" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "A. Sueiro Bendito, J. Villamor León, A.E. Delgado Pérez, J.A. Serrano Iglesias, J. Ortíz Vázquez" "autores" => array:5 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Sueiro Bendito" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Villamor León" ] 2 => array:2 [ "nombre" => "A.E." "apellidos" => "Delgado Pérez" ] 3 => array:2 [ "nombre" => "J.A." "apellidos" => "Serrano Iglesias" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Ortíz Vázquez" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Neumología del Departamento de Medicina Interna de la Ciudad Sanitaria La Paz y Universidad Autónoma de Madrid" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Thoracoscopy and pleural biopsy in non suppurated pleural effusions" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La aplicación de la toracoscopia en el estudio de los derrames pleurales no supurados ha sido realizada en una serie de cincuenta pacientes para afirmar el diagnóstico etiológico del derrame. Con esta técnica, la rentabilidad a la hora de obtener tejido pleural para su estudio es del ciento por ciento. La conjunción de la histopatología, el aspecto macroscópico de la cavidad pleural y la evolución de los pacientes, eleva al 92% la posibilidad del diagnóstico del derrame. El estudio del Papanicolau en el derrame realizado durante la exploración incrementó en un 22% el diagnóstico de malignidad.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La tolerancia fue buena y las complicaciones mínimas, pese a que la edad de los pacientes superó los sesenta años en el 26% de los casos.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Esta técnica debe entrar de forma rutinaria, dentro de la exploración diagnóstica de la neumología.</p></span>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The application of thoracoscopy in the study of non suppurated pleural effusions has been made in a series of fifty patients to affirm the etiologic diagnosis of the effiision. With this technique, profitability at the time of obtaining pleural tissue for study is one hundred per cent. The combination of histopathology; the macroscopic aspect of the pleural cavity and the evolution of the patients elevates the possibility of diagnosis of the effusion to 92%. The study of Papanicolau of the effusion made during the exploration increased the diagnosis of malignancy in 22%.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">There was good tolerance and mínimum complications in spite of the fact that in 26% of the cases the ages of the patients were over sixty years old.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">This technique should form a routine part of diagnostic explorations in pneumology.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:11 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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