Case Report
Pneumonectomy With Extracorporeal Circulation to Treat Pulmonary Metastasis
Jesús Gabriel Sales Badiaa,
, José Marcelo Galbis Caravajala, Belén Viñals Larrugab, Daniel Luna Arnalb, Pedro Cordero Rodríguezc, José Miguel Cuevas Sanzd
Corresponding author
gsales@hospital-ribera.com
Correspondence: Dr. J.G. Sales Badia. Iregua, 38. Urb. Masía Traver. 46190 Ribarroja. Valencia. España
Correspondence: Dr. J.G. Sales Badia. Iregua, 38. Urb. Masía Traver. 46190 Ribarroja. Valencia. España
Read
3948
Timeswas read the article
1655
Total PDF
2293
Total HTML
Share statistics
array:23 [ "pii" => "S1579212907600457" "issn" => "15792129" "doi" => "10.1016/S1579-2129(07)60045-7" "estado" => "S300" "fechaPublicacion" => "2007-01-01" "aid" => "60045" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica (SEPAR)" "copyrightAnyo" => "2007" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 2007;43:180-2" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2257 "formatos" => array:3 [ "EPUB" => 77 "HTML" => 1565 "PDF" => 615 ] ] "itemSiguiente" => array:18 [ "pii" => "S1579212907600469" "issn" => "15792129" "doi" => "10.1016/S1579-2129(07)60046-9" "estado" => "S300" "fechaPublicacion" => "2007-01-01" "aid" => "60046" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica (SEPAR)" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "cor" "cita" => "Arch Bronconeumol. 2007;43:183" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1625 "formatos" => array:3 [ "EPUB" => 80 "HTML" => 993 "PDF" => 552 ] ] "en" => array:8 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letters to the Editor</span>" "titulo" => "Identifying cyN0 Bronchogenic Carcinoma" "tienePdf" => "en" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "183" ] ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ramon Rami-Porta, José Belda Sanchis, Mireia Serra Mitjans" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Ramon" "apellidos" => "Rami-Porta" ] 1 => array:2 [ "nombre" => "José Belda" "apellidos" => "Sanchis" ] 2 => array:2 [ "nombre" => "Mireia Serra" "apellidos" => "Mitjans" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212907600469?idApp=UINPBA00003Z" "url" => "/15792129/0000004300000003/v1_201305150311/S1579212907600469/v1_201305150311/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1579212907600445" "issn" => "15792129" "doi" => "10.1016/S1579-2129(07)60044-5" "estado" => "S300" "fechaPublicacion" => "2007-01-01" "aid" => "60044" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica (SEPAR)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 2007;43:176-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 4080 "formatos" => array:3 [ "EPUB" => 88 "HTML" => 2927 "PDF" => 1065 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Techniques And Procedures</span>" "titulo" => "Measurement of Fraction of Exhaled Nitric Oxide With the Portable NIOX-MINO Monitor in Healthy Adult" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "176" "paginaFinal" => "179" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ana María Fortuna, Teresa Feixas, Pere Casan" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Ana María" "apellidos" => "Fortuna" ] 1 => array:2 [ "nombre" => "Teresa" "apellidos" => "Feixas" ] 2 => array:2 [ "nombre" => "Pere" "apellidos" => "Casan" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212907600445?idApp=UINPBA00003Z" "url" => "/15792129/0000004300000003/v1_201305150311/S1579212907600445/v1_201305150311/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Report</span>" "titulo" => "Pneumonectomy With Extracorporeal Circulation to Treat Pulmonary Metastasis" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "180" "paginaFinal" => "182" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Jesús Gabriel Sales Badia, José Marcelo Galbis Caravajal, Belén Viñals Larruga, Daniel Luna Arnal, Pedro Cordero Rodríguez, José Miguel Cuevas Sanz" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Jesús Gabriel Sales" "apellidos" => "Badia" "email" => array:1 [ 0 => "gsales@hospital-ribera.com" ] "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" => "José Marcelo Galbis" "apellidos" => "Caravajal" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 2 => array:3 [ "nombre" => "Belén Viñals" "apellidos" => "Larruga" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 3 => array:3 [ "nombre" => "Daniel Luna" "apellidos" => "Arnal" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 4 => array:3 [ "nombre" => "Pedro Cordero" "apellidos" => "Rodríguez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] ] 5 => array:3 [ "nombre" => "José Miguel Cuevas" "apellidos" => "Sanz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff4" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Servicio de Cirugía Torácica, Hospital de La Ribera, Alzira, Valencia, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Servicio de Cirugía Cardíaca, Hospital de La Ribera, Alzira, Valencia, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] 2 => array:3 [ "entidad" => "Servicio de Neumología, Hospital de La Ribera, Alzira, Valencia, Spain" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] 3 => array:3 [ "entidad" => "Servicio de Oncología, Hospital de La Ribera, Alzira, Valencia, Spain" "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff4" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. J.G. Sales Badia. Iregua, 38. Urb. Masía Traver. 46190 Ribarroja. Valencia. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-10-25" "fechaAceptado" => "2006-05-09" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec154818" "palabras" => array:4 [ 0 => "Pulmonary metastasis" 1 => "Chondrosarcoma" 2 => "Pneumonectomy" 3 => "Cardiopulmonary bypass" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec154817" "palabras" => array:4 [ 0 => "Metástasis pulmonar" 1 => "Osteosarcoma" 2 => "Neumonectomía" 3 => "Derivación cardiopulmonar" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Surgical resection of pulmonary metastasis is appropriate provided the general principals of oncológical surgery are followed. Complete excision of the metastatic tumor is associated with long-term survival and low perioperative mortality.</p><p class="elsevierStyleSimplePara elsevierViewall">We present 2 cases of single pulmonary metastasis from osteosarcoma with cardiac involvement. In both cases, complete excision required left pneumonectomy by sternotomy with extracorporeal circulation. The outcomes were favorable, no perioperative complications were reported, and the patients remained free of disease at 14 and 17 months after surgery.</p><p class="elsevierStyleSimplePara elsevierViewall">In conclusion, we believe that the cases presented confirm that extended pneumonectomy with extracorporeal circulation if necessary is a valid approach for complete resection of pulmonary metastasis.</p>" ] "es" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">La resección quirúrgica de las metástasis pulmonares es un tratamiento aceptado si se mantienen los principios generales de la cirugía oncológica, y la exéresis completa de las metástasis se asocia a una supervivencia a largo plazo y una mortalidad perioperatoría baja.</p><p class="elsevierStyleSimplePara elsevierViewall">Presentamos 2 casos de metástasis pulmonar única de osteosarcoma con infiltración cardíaca, que requirió para su exéresis completa neumonectomía izquierda por esternotomía, con utilización de circulación extracorpórea. El resultado fue favorable, sin que hubiera complicaciones perioperatorias y los pacientes permanecen indemnes a los 14 y 17 meses de la intervención quirúrgica.</p><p class="elsevierStyleSimplePara elsevierViewall">En conclusión, consideramos que en casos seleccionados la neumonectomía ampliada, con utilización de circulación extracorpórea si se precisa, para poder realizar la exéresis completa de metástasis pulmonares es un procedimiento válido.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:9 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulmonary metastasectomy. Current indications" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "VW Rusch" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1995" "volumen" => "107" "numero" => "Suppl 6" "paginaInicial" => "322" "paginaFinal" => "331" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "titulo" => "The International Registry of Lung Metastases. Long-term results of lung metastasectomy: prognostic analyses based on 5206 cases" ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Thorac Cardiovasc Surg" "fecha" => "1997" "volumen" => "113" "paginaInicial" => "37" "paginaFinal" => "49" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9011700" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Is there a role for pneumonectomy in pulmonary metastases? International Registry of Lung Metastases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "HN Koong" 1 => "U Pastorino" 2 => "RJ Ginsberg" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "1999" "volumen" => "68" "paginaInicial" => "2039" "paginaFinal" => "2043" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10616973" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Completion pneumonectomy for lung metastases: is it justified?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "D Grunenwald" 1 => "L Spaggiari" 2 => "P Girard" 3 => "P Baldeyrou" 4 => "M Filaire" 5 => "G Dennewald" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur J Cardiothorac Surg" "fecha" => "1997" "volumen" => "12" "paginaInicial" => "694" "paginaFinal" => "697" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9458137" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Extended resection of pulmonary metastases: is the risk justified?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "JB Putnam Jr" 1 => "DM Suell" 2 => "G Natarajan" 3 => "JA Roth" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "1993" "volumen" => "55" "paginaInicial" => "1440" "paginaFinal" => "1446" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8512393" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Partial atrial resection in advanced lung carcinoma with and without cardiopulmonary bypass" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "T Shirakusa" 1 => "M Kimura" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Thorax" "fecha" => "1991" "volumen" => "46" "paginaInicial" => "484" "paginaFinal" => "487" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1652165" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "T4 lung tumors with infiltration of the thoracic aorta: is an operation reasonable?" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "W Klepetko" 1 => "W Wisser" 2 => "T Birsan" 3 => "P Mares" 4 => "S Taghavi" 5 => "N Kupilik" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "1999" "volumen" => "67" "paginaInicial" => "340" "paginaFinal" => "344" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10197651" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Atrial resection in advanced lung carcinoma under total cardiopulmonary bypass" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "ER Ferguson Jr" 1 => "MJ Reardon" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Tex Heart Inst J" "fecha" => "2000" "volumen" => "27" "paginaInicial" => "110" "paginaFinal" => "112" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10928496" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Value of systematic mediastinal lymph node dissection during pulmonary metastasectomy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "F Loehe" 1 => "S Kobinger" 2 => "RA Hatz" 3 => "T Helmberger" 4 => "U Loehrs" 5 => "H Fuerst" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "2001" "volumen" => "72" "paginaInicial" => "225" "paginaFinal" => "229" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11465184" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000004300000003/v1_201305150311/S1579212907600457/v1_201305150311/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/15792129/0000004300000003/v1_201305150311/S1579212907600457/v1_201305150311/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212907600457?idApp=UINPBA00003Z" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 3 | 4 | 7 |
| 2024 October | 27 | 13 | 40 |
| 2024 September | 36 | 26 | 62 |
| 2024 August | 41 | 40 | 81 |
| 2024 July | 21 | 18 | 39 |
| 2024 June | 30 | 17 | 47 |
| 2024 May | 36 | 23 | 59 |
| 2024 April | 16 | 27 | 43 |
| 2024 March | 22 | 13 | 35 |
| 2024 February | 20 | 25 | 45 |
| 2023 March | 4 | 1 | 5 |
| 2023 February | 15 | 20 | 35 |
| 2023 January | 21 | 30 | 51 |
| 2022 December | 16 | 23 | 39 |
| 2022 November | 18 | 21 | 39 |
| 2022 October | 24 | 33 | 57 |
| 2022 September | 17 | 20 | 37 |
| 2022 August | 17 | 34 | 51 |
| 2022 July | 22 | 35 | 57 |
| 2022 June | 16 | 25 | 41 |
| 2022 May | 14 | 34 | 48 |
| 2022 April | 14 | 24 | 38 |
| 2022 March | 16 | 34 | 50 |
| 2022 February | 15 | 25 | 40 |
| 2022 January | 11 | 32 | 43 |
| 2021 December | 13 | 42 | 55 |
| 2021 November | 15 | 38 | 53 |
| 2021 October | 14 | 53 | 67 |
| 2021 September | 17 | 52 | 69 |
| 2021 August | 11 | 29 | 40 |
| 2021 July | 12 | 19 | 31 |
| 2021 June | 9 | 23 | 32 |
| 2021 May | 13 | 21 | 34 |
| 2021 April | 16 | 27 | 43 |
| 2021 March | 11 | 17 | 28 |
| 2021 February | 13 | 11 | 24 |
| 2021 January | 9 | 9 | 18 |
| 2020 December | 10 | 8 | 18 |
| 2020 November | 2 | 6 | 8 |
| 2020 October | 4 | 6 | 10 |
| 2020 September | 2 | 1 | 3 |
| 2020 August | 3 | 8 | 11 |
| 2020 July | 11 | 16 | 27 |
| 2020 June | 11 | 13 | 24 |
| 2020 May | 11 | 16 | 27 |
| 2020 April | 12 | 15 | 27 |
| 2020 March | 9 | 7 | 16 |
| 2020 February | 14 | 16 | 30 |
| 2020 January | 7 | 12 | 19 |
| 2019 December | 11 | 9 | 20 |
| 2019 November | 14 | 9 | 23 |
| 2019 October | 11 | 5 | 16 |
| 2019 September | 29 | 8 | 37 |
| 2019 August | 10 | 3 | 13 |
| 2019 July | 21 | 17 | 38 |
| 2019 June | 39 | 4 | 43 |
| 2019 May | 44 | 12 | 56 |
| 2019 April | 12 | 45 | 57 |
| 2019 March | 6 | 12 | 18 |
| 2019 February | 6 | 9 | 15 |
| 2019 January | 4 | 10 | 14 |
| 2018 December | 9 | 8 | 17 |
| 2018 November | 11 | 8 | 19 |
| 2018 October | 23 | 13 | 36 |
| 2018 September | 14 | 9 | 23 |
| 2018 May | 5 | 0 | 5 |
| 2018 April | 5 | 7 | 12 |
| 2018 March | 5 | 5 | 10 |
| 2018 February | 4 | 4 | 8 |
| 2018 January | 5 | 10 | 15 |
| 2017 December | 3 | 3 | 6 |
| 2017 November | 4 | 4 | 8 |
| 2017 October | 3 | 7 | 10 |
| 2017 September | 2 | 6 | 8 |
| 2017 August | 6 | 7 | 13 |
| 2017 July | 2 | 15 | 17 |
| 2017 June | 7 | 10 | 17 |
| 2017 May | 6 | 8 | 14 |
| 2017 April | 0 | 10 | 10 |
| 2017 March | 3 | 3 | 6 |
| 2017 February | 1 | 4 | 5 |
| 2017 January | 3 | 5 | 8 |
| 2016 December | 6 | 6 | 12 |
| 2016 November | 6 | 11 | 17 |
| 2016 October | 4 | 2 | 6 |
| 2016 September | 3 | 4 | 7 |
| 2016 August | 10 | 7 | 17 |
| 2016 July | 1 | 5 | 6 |
| 2016 March | 1 | 0 | 1 |
| 2016 February | 1 | 0 | 1 |
| 2015 December | 3 | 0 | 3 |
| 2015 October | 39 | 14 | 53 |
| 2015 September | 32 | 8 | 40 |
| 2015 August | 38 | 13 | 51 |
| 2015 July | 33 | 3 | 36 |
| 2015 June | 32 | 10 | 42 |
| 2015 May | 47 | 28 | 75 |
| 2015 April | 25 | 10 | 35 |
| 2015 March | 39 | 6 | 45 |
| 2015 February | 26 | 7 | 33 |
| 2015 January | 27 | 11 | 38 |
| 2014 December | 22 | 4 | 26 |
| 2014 November | 30 | 8 | 38 |
| 2014 October | 44 | 8 | 52 |
| 2014 September | 33 | 4 | 37 |
| 2014 August | 33 | 12 | 45 |
| 2014 July | 28 | 7 | 35 |
| 2014 June | 46 | 8 | 54 |
| 2014 May | 45 | 8 | 53 |
| 2014 April | 52 | 9 | 61 |
| 2014 March | 65 | 9 | 74 |
| 2014 February | 36 | 8 | 44 |
| 2014 January | 37 | 10 | 47 |
| 2013 December | 33 | 10 | 43 |
| 2013 November | 37 | 6 | 43 |
| 2013 October | 31 | 7 | 38 |
| 2013 September | 40 | 8 | 48 |
| 2013 August | 48 | 6 | 54 |
| 2013 July | 53 | 10 | 63 |
| 2013 June | 73 | 6 | 79 |
| 2013 May | 36 | 6 | 42 |
| 2013 April | 21 | 2 | 23 |
| 2013 March | 8 | 3 | 11 |
Show all
