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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Describir la t&#233;cnica de la lobectom&#237;a videoasis-tida a trav&#233;s del tri&#225;ngulo auscultatorio &#40;LVAA&#41; y valorar los resultados&#44; inmediatos y a medio plazo&#44; obtenidos me-diante este procedimiento quir&#250;rgico en pacientes afectados de carcinoma broncopulmonar no microc&#237;tico&#44; estadio I</p> <span class="elsevierStyleSectionTitle">Pacientes Y M&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Desde abril de 1999 hasta mayo de 2002 hemos realizado 25 LVAA &#40;24 lobectom&#237;as y una bilo-bectom&#237;a&#41;&#44; en 25 pacientes con una edad media de 63&#44;6 a&#241;os &#40;rango&#44; 39-80&#41;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La mortalidad operatoria y postoperatoria fue nula&#46; En dos casos se requiri&#243; la conversi&#243;n a toracotom&#237;a convencional&#46; Un paciente fue reintervenido por hemot&#243;rax y otro present&#243; una f&#237;stula broncopleural que fue tratado con drenaje pleural&#46; La estancia media hospitalaria fue de 6&#44;3 d&#237;as&#46; Con un seguimiento medio de 11&#44;5 meses &#40;rango&#44; 1-36&#41;&#44; 23 pacientes est&#225;n libres de enfermedad&#46; La supervivencia ac-tuarial &#40;Kaplan-Meier&#41; a los dos a&#241;os fue del 93 &#177; 7&#37;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La LVAA constituye una intervenci&#243;n se-gura&#44; que requiere sin embargo un aprendizaje espec&#237;fico&#46; En nuestra serie&#44; la morbilidad ha sido escasa y la mortali-dad nula&#46; En los pacientes con carcinoma broncog&#233;nico en estadio I&#44; los resultados en los dos primeros a&#241;os de segui-miento son superponibles a los obtenidos a trav&#233;s de toraco-tom&#237;a convencional</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To describe a technique for video-assisted lobec-tomy through the auscultatory triangle &#40;VALAT&#41; and to assess early and medium-term outcome of the procedure in patients with non-small cell bronchopulmonary carcinoma in stage I</p> <span class="elsevierStyleSectionTitle">Patients And Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Between April 1999 and May 2002 we performed 25 VALAT procedures &#40;24 lobectomies and 1 bilobectomy&#41; in 25 patients with a mean age of 63&#46;6 years &#40;range 39&#8211;80&#41;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">No deaths occurred during or after surgery&#46; Conversion to conventional thoracotomy was necessary in two cases&#46; One patient was re-operated to resolve hemothorax and one developed a bronchopleural fistula that was treated by pleural drainage&#46; The mean hospital stay was 6&#46;3 days&#46; Twenty-three patients have been disease-free throughout a mean follow-up period of 11&#46;5 months &#40;range 1-36&#41;&#46; The two-year actuarial survival rate &#40;Kaplan-Meier&#41; was 93&#37; &#177; 7&#37;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Valat is a safe procedure that neverthe-less requires specific training&#46; The rate of complications was low in our patient series and mortality was nil&#46; The outcome for patients with stage I bronchogenic carcinoma over a two-year follow-up period has been comparable to results obtained with conventional thoracotomy</p>"
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Vol. 39. Issue 2.
Pages 87-90 (February 2003)
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Vol. 39. Issue 2.
Pages 87-90 (February 2003)
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Lobectomía videoasistida a través del triángulo auscultatorio en el tratamiento quirúrgico del carcinoma broncopulmonar. Experiencia preliminar
Video-assisted lobectomy through the auscultatory triangle for the surgical treatment of bronchopulmonary carcinoma. Preliminary experience
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J.M. Gimferrer
Corresponding author
jgimferr@medicina.ub.es

Correspondencia: Servicio de Cirugía Torácica. Hospital Clínic.Villarroel, 170. 08036 Barcelona. España
, J. Belda, M. Catalán, M. Serra, M. Rubio, M. Iglesias
Institut Clínic de Pneumologia i Cirurgia Toràcica. Hospital Clínic. Universitat de Barcelona. Barcelona. España
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Objetivo

Describir la técnica de la lobectomía videoasis-tida a través del triángulo auscultatorio (LVAA) y valorar los resultados, inmediatos y a medio plazo, obtenidos me-diante este procedimiento quirúrgico en pacientes afectados de carcinoma broncopulmonar no microcítico, estadio I

Pacientes Y Método

Desde abril de 1999 hasta mayo de 2002 hemos realizado 25 LVAA (24 lobectomías y una bilo-bectomía), en 25 pacientes con una edad media de 63,6 años (rango, 39-80)

Resultados

La mortalidad operatoria y postoperatoria fue nula. En dos casos se requirió la conversión a toracotomía convencional. Un paciente fue reintervenido por hemotórax y otro presentó una fístula broncopleural que fue tratado con drenaje pleural. La estancia media hospitalaria fue de 6,3 días. Con un seguimiento medio de 11,5 meses (rango, 1-36), 23 pacientes están libres de enfermedad. La supervivencia ac-tuarial (Kaplan-Meier) a los dos años fue del 93 ± 7%

Conclusiones

La LVAA constituye una intervención se-gura, que requiere sin embargo un aprendizaje específico. En nuestra serie, la morbilidad ha sido escasa y la mortali-dad nula. En los pacientes con carcinoma broncogénico en estadio I, los resultados en los dos primeros años de segui-miento son superponibles a los obtenidos a través de toraco-tomía convencional

Palabras clave:
Lobectomía videoasistida
Videotoracoscopia
Carcinoma broncopulmonar
Objective

To describe a technique for video-assisted lobec-tomy through the auscultatory triangle (VALAT) and to assess early and medium-term outcome of the procedure in patients with non-small cell bronchopulmonary carcinoma in stage I

Patients And Method

Between April 1999 and May 2002 we performed 25 VALAT procedures (24 lobectomies and 1 bilobectomy) in 25 patients with a mean age of 63.6 years (range 39–80)

Results

No deaths occurred during or after surgery. Conversion to conventional thoracotomy was necessary in two cases. One patient was re-operated to resolve hemothorax and one developed a bronchopleural fistula that was treated by pleural drainage. The mean hospital stay was 6.3 days. Twenty-three patients have been disease-free throughout a mean follow-up period of 11.5 months (range 1-36). The two-year actuarial survival rate (Kaplan-Meier) was 93% ± 7%

Conclusions

Valat is a safe procedure that neverthe-less requires specific training. The rate of complications was low in our patient series and mortality was nil. The outcome for patients with stage I bronchogenic carcinoma over a two-year follow-up period has been comparable to results obtained with conventional thoracotomy

Keywords:
Video-assisted lobectomy
Videothoracoscopy
Bronchopulmonary carcinoma
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