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Imagen Clínica
Extirpación de hamartoma endobronquial con Ligasure®
Resection of Endobronchial Hamartoma Using the Ligasure® Technique
Ana Triviñoa,
Corresponding author
atrivi_17@hotmail.com

Autor para correspondencia.
, Laura Arroyo Parejaa, Carolina Españab
a Servicio de Cirugía Torácica, Hospital Universitario Puerta del Mar, Cádiz, España
b Servicio de Neumología, Hospital Universitario Puerta del Mar, Cádiz, España
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Paciente de 48 a&#241;os&#44; en estudio por disnea progresiva MRC grado II&#44; que en estudio radiol&#243;gico se descubre lesi&#243;n polipoidea endoluminal&#46; La fibrobroncoscopia evidenci&#243; la presencia de una tumoraci&#243;n hipervascularizada y pediculada en tercio distal de la tr&#225;quea&#44; pr&#243;xima al bronquio principal izquierdo&#44; con una obstrucci&#243;n del 60-70&#37; de la luz&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Dado las caracter&#237;sticas de la tumoraci&#243;n se decidi&#243; su ex&#233;resis bajo control de fibrobroncoscopia r&#237;gida&#46; Para la resecci&#243;n del tumor se utiliz&#243; Ligasure<span class="elsevierStyleSup">&#174;</span> &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>&#41;&#44; dispositivo bipolar avanzado que realiza hemostasia por termocoagulaci&#243;n&#44; lo cual nos permiti&#243; la secci&#243;n y sellado del ped&#237;culo bajo control visual&#44; sin disminuir FiO<span class="elsevierStyleInf">2</span>&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">La paciente fue dada de alta a las 48<span class="elsevierStyleHsp" style=""></span>h&#44; sin ninguna incidencia&#46; Una vez confirmado el diagn&#243;stico de hamartoma de 18<span class="elsevierStyleHsp" style=""></span>mm&#44; se decidi&#243; seguimiento mediante fibrobroncoscopia y control radiol&#243;gico&#46; El paciente se encuentra asintom&#225;tico y libre de enfermedad despu&#233;s de 6 meses de tratamiento&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">El hamartoma traqueal es un tumor benigno poco frecuente&#46; El avance de la neumolog&#237;a intervencionista&#44; ha permitido el tratamiento exitoso endosc&#243;pico de lesiones endotraqueales benignas<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a>&#46; A pesar de ello&#44; algunos autores defienden el tratamiento quir&#250;rgico<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a>&#46; Dado la naturaleza benigna de la lesi&#243;n y los resultados broncosc&#243;picos descritos en la bibliograf&#237;a&#44; realizamos una resecci&#243;n endosc&#243;pica y seguimiento&#46;</p></span>"
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Article information
ISSN: 03002896
Original language: Spanish
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