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Functional Results of Surgical Treatment of Bronchiectasis in a Developing Country
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"apellidos" => "Miravitlles" ] 6 => array:1 [ "colaborador" => "on behalf of the EFEMAP" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212906604394?idApp=UINPBA00003Z" "url" => "/15792129/0000004200000004/v1_201305150241/S1579212906604394/v1_201305150241/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Articles</span>" "titulo" => "Functional Results of Surgical Treatment of Bronchiectasis in a Developing Country" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "183" "paginaFinal" => "188" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Gokhan Yuncu, Kenan Can Ceylan, Serpil Sevinc, Ahmet Ucvet, Seyda Ors Kaya, Goksel Kiter, Saban Unsal, Funda Ozsinan" "autores" => array:8 [ 0 => array:5 [ "preGrado" => "Dr." "nombre" => "Gokhan" "apellidos" => "Yuncu" "email" => array:1 [ 0 => "gyuncu@pamukkale.edu.tr" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "Kenan" "apellidos" => "Can Ceylan" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 2 => array:3 [ "nombre" => "Serpil" "apellidos" => "Sevinc" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 3 => array:3 [ "nombre" => "Ahmet" "apellidos" => "Ucvet" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 4 => array:3 [ "nombre" => "Seyda" "apellidos" => "Ors Kaya" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 5 => array:3 [ "nombre" => "Goksel" "apellidos" => "Kiter" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] ] 6 => array:3 [ "nombre" => "Saban" "apellidos" => "Unsal" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 7 => array:3 [ "nombre" => "Funda" "apellidos" => "Ozsinan" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Pamukkale University Medical School, Thoracic Surgery Department, Denizli, Turkey" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Chest Diseases and Thoracic Surgery Training Hospital, First Department of Thoracic Surgery, Izmir, Turkey" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] 2 => array:3 [ "entidad" => "Pamukkale University Medical School, Chest Diseases Department, Denizli, Turkey" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. Gokhan Yuncu. Pamukkale University Medical School, Kinikli Kampus Denizli/Turkey" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-02-28" "fechaAceptado" => "2005-11-08" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec154310" "palabras" => array:3 [ 0 => "Bronchiectasis" 1 => "Surgery" 2 => "Outcome assessment" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec154311" "palabras" => array:3 [ 0 => "Bronquiectasias" 1 => "Cirugía" 2 => "Evaluación de resultados" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p class="elsevierStyleSimplePara elsevierViewall">The prevalence of bronchiectasis has decreased significantly over recent decades in developed countries. However, resection for bronchiectasis still plays an important part in thoracic surgery practice in developing countries such as Turkey. This study was designed to evaluate the outcomes of surgical treatment for bronchiectasis, particularly in aspects related to the effects on functional well-being.</p> <span class="elsevierStyleSectionTitle">Patients and method</span><p class="elsevierStyleSimplePara elsevierViewall">From January 1995 through December 2003, operations for bronchiectasis were performed in 81 patients. Demographic features, type of resection, and operative morbidity and mortality were evaluated. The outcomes related to overall “social” or nonpulmonary functional status were classified and compared according to a scale constructed to assess patients' well-being preoperatively and at the sixth postoperative month.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The mean age was 24.4 years and 47 patients (58%) were male. Surgical treatment was lobectomy in 37 (45%), pneumonectomy in 10 (12%), segmentectomy in 13 (16%), and lobectomy plus segmentectomy in 22 (27%) of the operations. Complete resection of disease was achieved in 69 patients (85%). There was no operative mortality. The rate of morbidity was 18.3%. Improvement to a functional status of excellent was observed in 81.7% and improvement to a status of good was seen in 12.7% of patients; 5.6% experienced no change. The results of complete resection were significantly better than those of incomplete resection (P=.0015).</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">Functional results of surgical treatment for bronchiectasis in this series suggest that the outcomes are favorable and promising, particularly in selected patients with sufficient pulmonary reserves and localized disease who are suitable for complete resection.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">La prevalencia de las bronquiectasias ha disminuido significativamente durante los últimos decenios en los países desarrollados. Sin embargo, la resección quirúrgica de las bronquiectasias desempeña todavía un papel importante en la práctica de la cirugía torácica en los países en vías de desarrollo como Turquía. El presente estudio se ha diseñado para evaluar los resultados obtenidos con el tratamiento quirúrgico de las bronquiectasias, especialmente en lo que se refiere a sus efectos sobre el bienestar funcional de los pacientes.</p> <span class="elsevierStyleSectionTitle">Patientes y método</span><p class="elsevierStyleSimplePara elsevierViewall">Entre enero de 1995 y diciembre de 2003 recibieron tratamiento quirúrgico debido a bronquiectasias 81 pacientes. Se evaluaron las características demográficas, el tipo de resección quirúrgica y la morbilidad y mortali-dad operatorias. Los resultados relativos al nivel funcional global “social” o extrapulmonar se clasificaron y compararon con una escala creada para determinar el grado de bienestar de los pacientes antes de la intervención y a los 6 meses.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La edad media de los pacientes era de 24,4 años y 47 (58%) eran de sexo masculino. El tratamiento quirúrgico consistió en lobectomía en 37 (45%), neumonectomía en 10 (12%), segmentectomía en 13 (16%) y la combinación de lobectomía y segmentectomía en 22 (27%) de las intervenciones quirúrgicas. La resección completa se llevó a cabo en 69 pacientes (85%). No se produjo ningún fallecimiento a consecuencia de la cirugía. La tasa de morbilidad fue del 18,3%. Se observó mejoría hasta un estado funcional excelente en el 81,7% de los pacientes, así como mejoría hasta un estado funcional bueno en el 12,7%; en el 5,6% no se observaron cambios. Los resultados obtenidos con la resección completa fueron significativamente mejores que los conseguidos con la resección incompleta (p = 0,0015).</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p class="elsevierStyleSimplePara elsevierViewall">Los resultados funcionales del tratamiento quirúrgico de las bronquiectasias obtenidos en esta serie de pacientes son favorables y prometedores, especialmente en pacientes seleccionados con una reserva pulmonar suficiente y con un proceso patológico localizado en quienes es posible la resección completa.</p>" ] ] "NotaPie" => array:1 [ 0 => array:1 [ "nota" => "<p class="elsevierStyleNotepara">Parts of this paper were presented at the 17th Asia Pacific Congress on Diseases of the Chest, Istanbul, August 29—September 1, 2003.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Lung infections and diffuse interstitial lung disease" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "P van Trigt" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "Surgery of chest" "paginaInicial" => "615" "paginaFinal" => "670" "serieFecha" => "1979" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Surgery for bronchiectasis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "D Prieto" 1 => "J Bernardo" 2 => "MJ Matos" 3 => "L Eugenio" 4 => "M Antunes" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur J Cardiothorac Surg." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 1 | 5 |
| 2024 October | 31 | 14 | 45 |
| 2024 September | 32 | 11 | 43 |
| 2024 August | 54 | 25 | 79 |
| 2024 July | 39 | 26 | 65 |
| 2024 June | 34 | 20 | 54 |
| 2024 May | 33 | 27 | 60 |
| 2024 April | 29 | 18 | 47 |
| 2024 March | 32 | 18 | 50 |
| 2024 February | 35 | 18 | 53 |
| 2023 July | 1 | 1 | 2 |
| 2023 March | 1 | 3 | 4 |
| 2023 February | 10 | 17 | 27 |
| 2023 January | 18 | 29 | 47 |
| 2022 December | 16 | 28 | 44 |
| 2022 November | 12 | 17 | 29 |
| 2022 October | 23 | 33 | 56 |
| 2022 September | 14 | 19 | 33 |
| 2022 August | 16 | 40 | 56 |
| 2022 July | 16 | 39 | 55 |
| 2022 June | 16 | 26 | 42 |
| 2022 May | 18 | 32 | 50 |
| 2022 April | 13 | 25 | 38 |
| 2022 March | 15 | 33 | 48 |
| 2022 February | 17 | 31 | 48 |
| 2022 January | 13 | 32 | 45 |
| 2021 December | 18 | 45 | 63 |
| 2021 November | 18 | 49 | 67 |
| 2021 October | 16 | 45 | 61 |
| 2021 September | 17 | 49 | 66 |
| 2021 August | 10 | 14 | 24 |
| 2021 July | 10 | 24 | 34 |
| 2021 June | 14 | 40 | 54 |
| 2021 May | 13 | 21 | 34 |
| 2021 April | 37 | 66 | 103 |
| 2021 March | 21 | 19 | 40 |
| 2021 February | 11 | 12 | 23 |
| 2021 January | 7 | 7 | 14 |
| 2020 December | 6 | 11 | 17 |
| 2020 November | 9 | 11 | 20 |
| 2020 October | 4 | 5 | 9 |
| 2020 September | 7 | 6 | 13 |
| 2020 August | 7 | 14 | 21 |
| 2020 July | 8 | 15 | 23 |
| 2020 June | 8 | 6 | 14 |
| 2020 May | 17 | 13 | 30 |
| 2020 April | 9 | 10 | 19 |
| 2020 March | 11 | 13 | 24 |
| 2020 February | 12 | 19 | 31 |
| 2020 January | 17 | 19 | 36 |
| 2019 December | 20 | 14 | 34 |
| 2019 November | 6 | 8 | 14 |
| 2019 October | 2 | 6 | 8 |
| 2019 September | 7 | 6 | 13 |
| 2019 August | 9 | 12 | 21 |
| 2019 July | 6 | 19 | 25 |
| 2019 June | 6 | 6 | 12 |
| 2019 May | 10 | 9 | 19 |
| 2019 April | 16 | 18 | 34 |
| 2019 March | 9 | 17 | 26 |
| 2019 February | 6 | 9 | 15 |
| 2019 January | 2 | 9 | 11 |
| 2018 December | 6 | 14 | 20 |
| 2018 November | 9 | 7 | 16 |
| 2018 October | 11 | 19 | 30 |
| 2018 September | 10 | 14 | 24 |
| 2018 May | 3 | 0 | 3 |
| 2018 April | 11 | 4 | 15 |
| 2018 March | 2 | 5 | 7 |
| 2018 February | 4 | 9 | 13 |
| 2018 January | 6 | 9 | 15 |
| 2017 December | 5 | 9 | 14 |
| 2017 November | 4 | 6 | 10 |
| 2017 October | 3 | 11 | 14 |
| 2017 September | 3 | 9 | 12 |
| 2017 August | 6 | 27 | 33 |
| 2017 July | 1 | 6 | 7 |
| 2017 June | 8 | 12 | 20 |
| 2017 May | 5 | 10 | 15 |
| 2017 April | 1 | 4 | 5 |
| 2017 March | 4 | 9 | 13 |
| 2017 February | 0 | 5 | 5 |
| 2017 January | 2 | 3 | 5 |
| 2016 December | 10 | 10 | 20 |
| 2016 November | 13 | 8 | 21 |
| 2016 October | 21 | 10 | 31 |
| 2016 September | 5 | 4 | 9 |
| 2016 August | 4 | 2 | 6 |
| 2016 July | 3 | 2 | 5 |
| 2016 March | 1 | 0 | 1 |
| 2016 February | 1 | 0 | 1 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 79 | 16 | 95 |
| 2015 September | 85 | 13 | 98 |
| 2015 August | 79 | 7 | 86 |
| 2015 July | 62 | 11 | 73 |
| 2015 June | 60 | 12 | 72 |
| 2015 May | 58 | 14 | 72 |
| 2015 April | 60 | 8 | 68 |
| 2015 March | 55 | 13 | 68 |
| 2015 February | 49 | 2 | 51 |
| 2015 January | 45 | 9 | 54 |
| 2014 December | 73 | 5 | 78 |
| 2014 November | 61 | 6 | 67 |
| 2014 October | 91 | 18 | 109 |
| 2014 September | 71 | 8 | 79 |
| 2014 August | 72 | 10 | 82 |
| 2014 July | 58 | 13 | 71 |
| 2014 June | 79 | 10 | 89 |
| 2014 May | 67 | 8 | 75 |
| 2014 April | 71 | 9 | 80 |
| 2014 March | 60 | 10 | 70 |
| 2014 February | 57 | 9 | 66 |
| 2014 January | 42 | 6 | 48 |
| 2013 December | 50 | 7 | 57 |
| 2013 November | 47 | 3 | 50 |
| 2013 October | 52 | 12 | 64 |
| 2013 September | 45 | 12 | 57 |
| 2013 August | 50 | 7 | 57 |
| 2013 July | 59 | 12 | 71 |
| 2013 June | 36 | 6 | 42 |
| 2013 May | 39 | 4 | 43 |
| 2013 April | 23 | 5 | 28 |
| 2013 March | 6 | 2 | 8 |
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