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, Jos&#233; Belda Sanchis, Mireia Serra Mitjans"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Ramon"
              "apellidos" => "Rami-Porta"
            ]
            1 => array:2 [
              "nombre" => "Jos&#233; 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 Espa&#241;ola de Neumolog&#237;a y Cirug&#237;a Tor&#225;cica &#40;SEPAR&#41;"
    "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 Mar&#237;a Fortuna, Teresa Feixas, Pere Casan"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Ana Mar&#237;a"
              "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" => "Jes&#250;s Gabriel Sales Badia, Jos&#233; Marcelo Galbis Caravajal, Bel&#233;n Vi&#241;als Larruga, Daniel Luna Arnal, Pedro Cordero Rodr&#237;guez, Jos&#233; Miguel Cuevas Sanz"
        "autores" => array:6 [
          0 => array:4 [
            "nombre" => "Jes&#250;s Gabriel Sales"
            "apellidos" => "Badia"
            "email" => array:1 [
              0 => "gsales&#64;hospital-ribera&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor1"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Jos&#233; Marcelo Galbis"
            "apellidos" => "Caravajal"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Bel&#233;n Vi&#241;als"
            "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" => "Rodr&#237;guez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff3"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "Jos&#233; 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 Cirug&#237;a Tor&#225;cica&#44; Hospital de La Ribera&#44; Alzira&#44; Valencia&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "aff1"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Cirug&#237;a Card&#237;aca&#44; Hospital de La Ribera&#44; Alzira&#44; Valencia&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "aff2"
          ]
          2 => array:3 [
            "entidad" => "Servicio de Neumolog&#237;a&#44; Hospital de La Ribera&#44; Alzira&#44; Valencia&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">c</span>"
            "identificador" => "aff3"
          ]
          3 => array:3 [
            "entidad" => "Servicio de Oncolog&#237;a&#44; Hospital de La Ribera&#44; Alzira&#44; Valencia&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">d</span>"
            "identificador" => "aff4"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor1"
            "etiqueta" => "&#42;"
            "correspondencia" => "Correspondence&#58; Dr&#46; J&#46;G&#46; Sales Badia&#46; Iregua&#44; 38&#46; Urb&#46; Mas&#237;a Traver&#46; 46190 Ribarroja&#46; Valencia&#46; Espa&#241;a"
          ]
        ]
      ]
    ]
    "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 => "Met&#225;stasis pulmonar"
            1 => "Osteosarcoma"
            2 => "Neumonectom&#237;a"
            3 => "Derivaci&#243;n 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 oncol&#243;gical surgery are followed&#46; Complete excision of the metastatic tumor is associated with long-term survival and low perioperative mortality&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">We present 2 cases of single pulmonary metastasis from osteosarcoma with cardiac involvement&#46; In both cases&#44; complete excision required left pneumonectomy by sternotomy with extracorporeal circulation&#46; The outcomes were favorable&#44; no perioperative complications were reported&#44; and the patients remained free of disease at 14 and 17 months after surgery&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">In conclusion&#44; 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&#46;</p>"
      ]
      "es" => array:1 [
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">La resecci&#243;n quir&#250;rgica de las met&#225;stasis pulmonares es un tratamiento aceptado si se mantienen los principios generales de la cirug&#237;a oncol&#243;gica&#44; y la ex&#233;resis completa de las met&#225;stasis se asocia a una supervivencia a largo plazo y una mortalidad perioperator&#237;a baja&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Presentamos 2 casos de met&#225;stasis pulmonar &#250;nica de osteosarcoma con infiltraci&#243;n card&#237;aca&#44; que requiri&#243; para su ex&#233;resis completa neumonectom&#237;a izquierda por esternotom&#237;a&#44; con utilizaci&#243;n de circulaci&#243;n extracorp&#243;rea&#46; El resultado fue favorable&#44; sin que hubiera complicaciones perioperatorias y los pacientes permanecen indemnes a los 14 y 17 meses de la intervenci&#243;n quir&#250;rgica&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">En conclusi&#243;n&#44; consideramos que en casos seleccionados la neumonectom&#237;a ampliada&#44; con utilizaci&#243;n de circulaci&#243;n extracorp&#243;rea si se precisa&#44; para poder realizar la ex&#233;resis completa de met&#225;stasis pulmonares es un procedimiento v&#225;lido&#46;</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&#46; 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&#46; Long-term results of lung metastasectomy&#58; 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&#63; 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&#58; is it justified&#63;"
                      "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&#58; is the risk justified&#63;"
                      "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&#58; is an operation reasonable&#63;"
                      "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"
]
Share
Journal Information
Vol. 43. Issue 3.
Pages 180-182 (January 2007)
Share
Share
Download PDF
More article options
Vol. 43. Issue 3.
Pages 180-182 (January 2007)
Case Report
Full text access
Pneumonectomy With Extracorporeal Circulation to Treat Pulmonary Metastasis
Visits
3948
Jesús Gabriel Sales Badiaa,
Corresponding author
gsales@hospital-ribera.com

Correspondence: Dr. J.G. Sales Badia. Iregua, 38. Urb. Masía Traver. 46190 Ribarroja. Valencia. España
, José Marcelo Galbis Caravajala, Belén Viñals Larrugab, Daniel Luna Arnalb, Pedro Cordero Rodríguezc, José Miguel Cuevas Sanzd
a Servicio de Cirugía Torácica, Hospital de La Ribera, Alzira, Valencia, Spain
b Servicio de Cirugía Cardíaca, Hospital de La Ribera, Alzira, Valencia, Spain
c Servicio de Neumología, Hospital de La Ribera, Alzira, Valencia, Spain
d Servicio de Oncología, Hospital de La Ribera, Alzira, Valencia, Spain
This item has received
Article information

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.

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.

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.

Key words:
Pulmonary metastasis
Chondrosarcoma
Pneumonectomy
Cardiopulmonary bypass

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.

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.

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.

Palabras clave:
Metástasis pulmonar
Osteosarcoma
Neumonectomía
Derivación cardiopulmonar
Full text is only aviable in PDF
REFERENCES
[1]
VW Rusch.
Pulmonary metastasectomy. Current indications.
Chest, 107 (1995), pp. 322-331
[2]
The International Registry of Lung Metastases. Long-term results of lung metastasectomy: prognostic analyses based on 5206 cases.
J Thorac Cardiovasc Surg, 113 (1997), pp. 37-49
[3]
HN Koong, U Pastorino, RJ Ginsberg.
Is there a role for pneumonectomy in pulmonary metastases? International Registry of Lung Metastases.
Ann Thorac Surg, 68 (1999), pp. 2039-2043
[4]
D Grunenwald, L Spaggiari, P Girard, P Baldeyrou, M Filaire, G Dennewald.
Completion pneumonectomy for lung metastases: is it justified?.
Eur J Cardiothorac Surg, 12 (1997), pp. 694-697
[5]
JB Putnam Jr, DM Suell, G Natarajan, JA Roth.
Extended resection of pulmonary metastases: is the risk justified?.
Ann Thorac Surg, 55 (1993), pp. 1440-1446
[6]
T Shirakusa, M Kimura.
Partial atrial resection in advanced lung carcinoma with and without cardiopulmonary bypass.
Thorax, 46 (1991), pp. 484-487
[7]
W Klepetko, W Wisser, T Birsan, P Mares, S Taghavi, N Kupilik, et al.
T4 lung tumors with infiltration of the thoracic aorta: is an operation reasonable?.
Ann Thorac Surg, 67 (1999), pp. 340-344
[8]
ER Ferguson Jr, MJ Reardon.
Atrial resection in advanced lung carcinoma under total cardiopulmonary bypass.
Tex Heart Inst J, 27 (2000), pp. 110-112
[9]
F Loehe, S Kobinger, RA Hatz, T Helmberger, U Loehrs, H Fuerst.
Value of systematic mediastinal lymph node dissection during pulmonary metastasectomy.
Ann Thorac Surg, 72 (2001), pp. 225-229
Copyright © 2007. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
Archivos de Bronconeumología
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?