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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Valorar la utilidad de la t&#233;cnica de colocaci&#243;n de arpones guiada con tomograf&#237;a computarizada para la localizaci&#243;n de n&#243;dulos pulmonares y su posterior resecci&#243;n mediante cirug&#237;a por videotoracoscopia asistida&#46; Describir el proceso y sus complicaciones</p> <span class="elsevierStyleSectionTitle">Pacientes Y M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se han localizado nueve n&#243;dulos pulmonares en 9 pacientes&#44; todos menores o iguales a 2 cm de di&#225;metro&#44; de car&#225;cter radiol&#243;gico indeterminado y sin diagn&#243;stico etiol&#243;gico&#46; Cuatro pacientes contaban con antecedentes de c&#225;ncer&#46; Los n&#243;dulos se localizaron mediante una aguja con arp&#243;n modelo Kopans&#44; guiada mediante tomograf&#237;a computarizada y se resecaron por videotoracoscopia</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El arp&#243;n se coloc&#243; correctamente en ocho de los pacientes y de forma incorrecta en uno de ellos&#46; En un enfermo fue preciso ampliar a toracotom&#237;a&#46; El diagn&#243;stico histol&#243;gico de los nueve n&#243;dulos fue de benignidad&#58; hamartoma en cinco casos&#44; n&#243;dulo necr&#243;tico o fibr&#243;tico en dos&#44; granuloma en uno y ganglio antrac&#243;tico en uno&#46; El tiempo de estancia hospitalaria oscil&#243; entre uno y 8 d&#237;as con una media de 3&#44;3 d&#237;as</p> <span class="elsevierStyleSectionTitle">Conclusione</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La localizaci&#243;n de n&#243;dulos pulmonares mediante aguja con arp&#243;n para su posterior resecci&#243;n por videotoracoscopia asistida es un m&#233;todo sencillo y seguro que facilita al cirujano la extirpaci&#243;n de los mismos&#44; en determinadas ocasiones&#44; para su diagn&#243;stico y tratamiento</p>"
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Journal Information
Vol. 38. Issue 9.
Pages 406-409 (September 2002)
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Vol. 38. Issue 9.
Pages 406-409 (September 2002)
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Localización mediante arpón de nódulos pulmonares para su resección por cirugía videotoracoscópica
Hookwire localization of pulmonary nodules for surgical resection
Visits
9799
M.J. Soleto
, M.J. Olivera, P. Caballero
Y.W. Puna, R. Morenoa, S. Nietob
a Servicios de Radiología, Cirugía Torácica. Hospital de la Princesa. Universidad Autónoma de Madrid
b Servicios de Radiología, Anatomía Patológica. Hospital de la Princesa. Universidad Autónoma de Madrid
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Article information
Objetivo

Valorar la utilidad de la técnica de colocación de arpones guiada con tomografía computarizada para la localización de nódulos pulmonares y su posterior resección mediante cirugía por videotoracoscopia asistida. Describir el proceso y sus complicaciones

Pacientes Y Métodos

Se han localizado nueve nódulos pulmonares en 9 pacientes, todos menores o iguales a 2 cm de diámetro, de carácter radiológico indeterminado y sin diagnóstico etiológico. Cuatro pacientes contaban con antecedentes de cáncer. Los nódulos se localizaron mediante una aguja con arpón modelo Kopans, guiada mediante tomografía computarizada y se resecaron por videotoracoscopia

Resultados

El arpón se colocó correctamente en ocho de los pacientes y de forma incorrecta en uno de ellos. En un enfermo fue preciso ampliar a toracotomía. El diagnóstico histológico de los nueve nódulos fue de benignidad: hamartoma en cinco casos, nódulo necrótico o fibrótico en dos, granuloma en uno y ganglio antracótico en uno. El tiempo de estancia hospitalaria osciló entre uno y 8 días con una media de 3,3 días

Conclusione

La localización de nódulos pulmonares mediante aguja con arpón para su posterior resección por videotoracoscopia asistida es un método sencillo y seguro que facilita al cirujano la extirpación de los mismos, en determinadas ocasiones, para su diagnóstico y tratamiento

Palabras clave:
Biopsia
Arpón
Nódulo pulmonar
Cirugía videotoracoscópica
Objectives

To assess the usefulness of a technique for inserting hookwires guided by computed tomography to locate and resect pulmonary nodules by video-assisted thoracoscopy. To describe the procedure and its complications

Patients And Methods

Nine pulmonary nodules were located in nine patients. All were=2 cm in diameter, radiologically undefined and of unknown origin. Four patients had a history of cancer. The nodules were located using the needle/hookwire system (Kopans), guided by computed tomography and were resected by video-assisted thoracic sur-gery

Results

The hookwire was placed correctly in 8 patients and incorrectly in 1. Thoracotomy was necessary for 1 patient. The histologic diagnosis was benign for all 9 nodules; 5 were hamartomas, 2 were necrotic or fibrotic nodules, 1 was a granuloma and 1 was an anthracotic node. Hospital stay ranged from 1 to 8 days (mean 3.3 days)

Conclusion

The location of pulmonary nodes by hookwire and needle for later resection by video-assisted thoracoscopic surgery is a simple, safe way to facilitate removal in some cases, for diagnosis and treatment

Keywords:
Biopsy
Hookwire
Pulmonary node
Videothoracos-copy
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Copyright © 2002. Sociedad Española de Neumología y Cirugía Torácica
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