array:23 [
  "pii" => "S030028961532593X"
  "issn" => "03002896"
  "doi" => "10.1016/S0300-2896(15)32593-X"
  "estado" => "S300"
  "fechaPublicacion" => "1978-10-01"
  "aid" => "72662"
  "copyright" => "Sociedad Española de Neumología y Cirugía Torácica"
  "copyrightAnyo" => "1978"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Arch Bronconeumol. 1978;14:158-63"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 1031
    "formatos" => array:3 [
      "EPUB" => 61
      "HTML" => 536
      "PDF" => 434
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S0300289615325941"
    "issn" => "03002896"
    "doi" => "10.1016/S0300-2896(15)32594-1"
    "estado" => "S300"
    "fechaPublicacion" => "1978-10-01"
    "aid" => "72663"
    "copyright" => "Sociedad Española de Neumología y Cirugía Torácica"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Arch Bronconeumol. 1978;14:164-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1075
      "formatos" => array:3 [
        "EPUB" => 53
        "HTML" => 566
        "PDF" => 456
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Comportamiento del sistema elastico pulmonar en la crisis aguda de asma bronquial"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "164"
          "paginaFinal" => "167"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Behaviour of the pulmonary elastic system in the acute crisis of bronchial asthma"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J. Castillo Gómez, M. Díaz Fernández, M. Peñafiel Colás, P. Alberich Sotomayor, E. Rodríguez Becerra, J. Peñas del Castillo, J. López Mejías"
          "autores" => array:7 [
            0 => array:2 [
              "nombre" => "J."
              "apellidos" => "Castillo Gómez"
            ]
            1 => array:2 [
              "nombre" => "M."
              "apellidos" => "Díaz Fernández"
            ]
            2 => array:2 [
              "nombre" => "M."
              "apellidos" => "Peñafiel Colás"
            ]
            3 => array:2 [
              "nombre" => "P."
              "apellidos" => "Alberich Sotomayor"
            ]
            4 => array:2 [
              "nombre" => "E."
              "apellidos" => "Rodríguez Becerra"
            ]
            5 => array:2 [
              "nombre" => "J."
              "apellidos" => "Peñas del Castillo"
            ]
            6 => array:2 [
              "nombre" => "J."
              "apellidos" => "López Mejías"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615325941?idApp=UINPBA00003Z"
    "url" => "/03002896/0000001400000004/v1_201509151328/S0300289615325941/v1_201509151328/es/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S0300289615325928"
    "issn" => "03002896"
    "doi" => "10.1016/S0300-2896(15)32592-8"
    "estado" => "S300"
    "fechaPublicacion" => "1978-10-01"
    "aid" => "72661"
    "copyright" => "Sociedad Española de Neumología y Cirugía Torácica"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Arch Bronconeumol. 1978;14:154-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1236
      "formatos" => array:3 [
        "EPUB" => 61
        "HTML" => 664
        "PDF" => 511
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Entrenamiento al esfuerzo bajo ventilacion dirigida con tecnicas de kinesiterapia"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "154"
          "paginaFinal" => "157"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Training for effort under directed ventilation with techniques of kinesitherapy"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:2 [
        0 => array:2 [
          "autoresLista" => "J. Marín, S. Ruso, J. Custardoy, A. Losada, M. González, Manuel Valdés Ruiz"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "J."
              "apellidos" => "Marín"
            ]
            1 => array:2 [
              "nombre" => "S."
              "apellidos" => "Ruso"
            ]
            2 => array:2 [
              "nombre" => "J."
              "apellidos" => "Custardoy"
            ]
            3 => array:2 [
              "nombre" => "A."
              "apellidos" => "Losada"
            ]
            4 => array:2 [
              "nombre" => "M."
              "apellidos" => "González"
            ]
            5 => array:2 [
              "nombre" => "Manuel Valdés"
              "apellidos" => "Ruiz"
            ]
          ]
        ]
        1 => array:2 [
          "autoresLista" => "P. Vergara, J.L. López"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "P."
              "apellidos" => "Vergara"
            ]
            1 => array:2 [
              "nombre" => "J.L."
              "apellidos" => "López"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615325928?idApp=UINPBA00003Z"
    "url" => "/03002896/0000001400000004/v1_201509151328/S0300289615325928/v1_201509151328/es/main.assets"
  ]
  "es" => array:12 [
    "idiomaDefecto" => true
    "titulo" => "Resultados en el tratamiento quirurgico del cancer de pulmon. Factores pronosticos"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "158"
        "paginaFinal" => "163"
      ]
    ]
    "autores" => array:2 [
      0 => array:3 [
        "autoresLista" => "V. Tarazona, J. Padilla, E. Blasco, A. Cantó, A.G. Zarza, J. Pastor, F. París"
        "autores" => array:7 [
          0 => array:2 [
            "nombre" => "V."
            "apellidos" => "Tarazona"
          ]
          1 => array:2 [
            "nombre" => "J."
            "apellidos" => "Padilla"
          ]
          2 => array:2 [
            "nombre" => "E."
            "apellidos" => "Blasco"
          ]
          3 => array:2 [
            "nombre" => "A."
            "apellidos" => "Cantó"
          ]
          4 => array:2 [
            "nombre" => "A.G."
            "apellidos" => "Zarza"
          ]
          5 => array:2 [
            "nombre" => "J."
            "apellidos" => "Pastor"
          ]
          6 => array:2 [
            "nombre" => "F."
            "apellidos" => "París"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servicio de Cirugía Torácica. Departamento de Cirugía. Centro Hospitalario « La Fe». Valencia"
            "identificador" => "aff0005"
          ]
        ]
      ]
      1 => array:3 [
        "autoresLista" => "A. Romar"
        "autores" => array:1 [
          0 => array:3 [
            "nombre" => "A."
            "apellidos" => "Romar"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:3 [
            "entidad" => "Secci&#243;n de Bioestad&#237;stica&#46; Departamento de Cirug&#237;a&#46; Centro Hospitalario &#171; La Fe&#187;&#46; Valencia"
            "etiqueta" => "&#42;"
            "identificador" => "aff0010"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Results in the surgical treatment of lung cancer&#46; Prognostic factors"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "1978-03-22"
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se aporta una serie de 300 resecciones por c&#225;ncer de pulm&#243;n&#44; de las que 169 tienen un &#171;follow-up&#187; superior a 3 a&#241;os&#46; Se expone la sistem&#225;tica de estudio y tratamiento&#46; Se clasifican los tumores seg&#250;n la codificaci&#243;n TNM propuesta por el American Joint Committe for C&#225;ncer Staging and End Results Reporting y las resecciones seg&#250;n su amplitud y criterio quir&#250;rgico&#46; Se detallan los distintos tipos histopatol&#243;gicos&#46; En los resultados se relaciona el tiempo de evoluci&#243;n cl&#237;nica con la histolog&#237;a&#46; el tipo de ex&#233;resis y el TNM&#46; La supervivencia total de la serie&#44; incluyendo la mortalidad quir&#250;rgica postoperatoria&#44; fue del 33&#37; para los 3 a&#241;os y del 24&#37; para los 5 a&#241;os&#46; Se destaca que la supervivencia en el estadio I es del 60&#37; a los 3 a&#241;os y del 46&#37; a los 5 a&#241;os&#44; bajando al 17 &#176;r y 129&#37; respectivamente&#44; para los pacientes con tumores en estadio II y del 15&#37; y 9&#37;&#44; para los del estadio III&#46; Se correlaciona la supervivencia y el criterio quir&#250;rgico con mejores resultados cuando se ha utilizado la cirug&#237;a est&#225;ndar&#46; Con respecto al tama&#241;o natural existe una diferencia significativa de supervivencia a los 3 a&#241;os entre los tumores de 3<span class="elsevierStyleHsp" style=""></span>cm&#46; de di&#225;metro m&#225;ximo y los de m&#225;s de 7<span class="elsevierStyleHsp" style=""></span>cm&#46; Por &#250;ltimo&#44; se describe la supervivencia de pacientes con afectaci&#243;n de pared tor&#225;cica&#46; Para nosotros estas cifras tienen un valor importante&#44; ya que las incidencias quir&#250;rgicas han sido amplias y no selectivas&#44; con un 85&#37; de resecabilidad en las toracotom&#237;as&#46;</p></span>"
      ]
      "en" => array:2 [
        "titulo" => "Summary"
        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The authors contribute a series of 300 resections due to cancer of the lung&#44; of which 160 had a follow-up superior to 3 years&#46; They expound on the system of study and treatment used&#46; They classify the tumors according to the T&#46;N&#46;M&#46; code proposed by the American Joint Committee for C&#225;ncer Staging and End Results Reporting&#44; and the resections according to amplitude and surgical criteria&#46; They then give the details of the different histological types&#46; In the results&#44; the authors relate the time of clinical evolution with histology&#44; the type of exeresis and the T&#46;N&#46;M&#46; The total survival of the series&#44; including postoperatory surgical mortality was 33&#37; at 3 years and 24&#37; at 5 years&#46; The authors emphasize the fact that the survival in state I was of 60&#37; at 3 years and of 46&#37; &#40;at 5 years&#44; lowering to 17 9&#37; and 12&#37; respectively for patients with tumors in state II&#44; and to 15&#37; and 9 7&#37; for those in state III&#46; They correlate survival and surgical criteria with better results when standard surgery was used&#46; With respect to the size of the tumor&#44; there is a significant difference of survival at 3 years between the tumors with a maximum of 3<span class="elsevierStyleHsp" style=""></span>cm&#46; of diameter and those of more than 7<span class="elsevierStyleHsp" style=""></span>cm&#46; Finally&#44; the authors describe the survival of patients with affectation of the thoracic wall&#46; For the authors these figures are of great value as the surgical indications were ampie and not selective&#44; with 85&#37; of resectability in the thoracotomies&#46;</p></span>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliografia"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:25 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Place de la chirurgie et recherche d&#8217;une strat&#233;gie th&#233;rapeutique"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "H&#46; Le Brigand"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Rev&#46; Fr&#46; Resp"
                        "fecha" => "1977"
                        "volumen" => "5"
                        "numero" => "supl 2"
                        "paginaInicial" => "67"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pasado y presente de la cirug&#237;a en el tratamiento del c&#225;ncer broncopulmonar"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "F&#46; Paris"
                            1 => "M&#46; Casillas"
                            2 => "J&#46; Pastor"
                            3 => "A&#46; Acosta"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:5 [
                        "titulo" => "En el Simposium sobre Tratamiento del C&#225;ncer Broncopulmonar&#46; Libro de Actas de la SEPAR"
                        "fecha" => "1974"
                        "paginaInicial" => "11"
                        "editorial" => "Ed&#46; Liade"
                        "editorialLocalizacion" => "Valencia"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tumour size as a prognostic factor after resection of lung carcinoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46;S&#46; Soorae"
                            1 => "R&#46; Abbey Smith"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Thorax"
                        "fecha" => "1977"
                        "volumen" => "32"
                        "paginaInicial" => "19"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/841529"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Les indications &#171;limites&#187; du traitement chirurgical dans la tuberculose pulmonaire&#46; Le probl&#233;me fonctional"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:9 [
                            0 => "H&#46; Le Brigand"
                            1 => "P&#46; Vayre"
                            2 => "I&#46; Noviant"
                            3 => "R&#46; Coutelle"
                            4 => "B&#46; Ranson-Britker"
                            5 => "A&#46; Semperleiva"
                            6 => "P&#46;H&#46; David"
                            7 => "J&#46; Luizy"
                            8 => "J&#46; Le Plaideur"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Rev&#46; Tubero&#44; et Pneumol"
                        "fecha" => "1967"
                        "volumen" => "31"
                        "paginaInicial" => "919"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Valeur pronostique du cath&#233;terisme cardiaque droit avant pneumonectomie chez les insuffisant respiratoires"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "B&#46; Ranson-Britker"
                            1 => "F&#46; Bouchar"
                            2 => "P&#46; Bechtel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Pres&#46; Med"
                        "fecha" => "1960"
                        "volumen" => "24"
                        "paginaInicial" => "907"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "La prevision du risque operatoire en chirurgie thoracique"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "B&#46; Ranson-Britker"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Bull&#46; Physio&#46; -Path&#46; Resp"
                        "fecha" => "1966"
                        "volumen" => "2"
                        "paginaInicial" => "15"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "La codification TNM apliqu&#233;e aux ancers bronchopulmonaires oper&#233;s"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "P&#46; Renault"
                            1 => "M&#46; Merlier"
                            2 => "J&#46; Lange"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Rev&#46; Fr&#46; Mal&#46; Resp"
                        "fecha" => "1975"
                        "volumen" => "3"
                        "paginaInicial" => "59"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Bronchogenic Carcinoma&#46; An agressive Surgical Attitude"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46;M&#46; Chamberlain"
                            1 => "J&#46;M&#46; Mc Neill"
                            2 => "T&#46;M&#46; Parnassa"
                            3 => "J&#46;R&#46; Edsall"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "J&#46; Thorac&#46; Surg"
                        "fecha" => "1959"
                        "volumen" => "38"
                        "paginaInicial" => "727"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pre-operative Assesment&#44; Techniques and Results of Surgery for Bronchial Carcinoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "R&#46; Abbey Smith"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:2 [
                        "titulo" => "Surgery of the Lung&#46; The Coventry Conference&#46;"
                        "serieFecha" => "1974"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Assesmentof the Role of Surgery for Control of Lung Cancer"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "C&#46;F&#46; Mountain"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Ann&#46; Thor&#46; Surg"
                        "fecha" => "1977"
                        "volumen" => "24"
                        "paginaInicial" => "365"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Biological predetermi-nism in human c&#225;ncer"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46; Mc Donald"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Surg&#46; Gynec and Obst"
                        "fecha" => "1951"
                        "volumen" => "92"
                        "paginaInicial" => "443"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Gactors influencing the spread of cancer"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "G&#46; Crile"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Surg&#46; Gynec&#46; and Obst"
                        "fecha" => "1956"
                        "volumen" => "103"
                        "paginaInicial" => "342"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Observations on growth rates of human tumor"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "V&#46;P&#46; Collins"
                            1 => "R&#46;K&#46; Loeffler"
                            2 => "H&#46; Tivey"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Am&#46; J&#46; Roentgen"
                        "fecha" => "1969"
                        "volumen" => "76"
                        "paginaInicial" => "989"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Survival rates following resection for bronchogenic carcinoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "D&#46;L&#46; Paulson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Annals of Surgery"
                        "fecha" => "1957"
                        "volumen" => "146"
                        "paginaInicial" => "997"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13488382"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Survival after lung resection for bronchial carcinoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;R&#46; Bignall"
                            1 => "A&#46;J&#46; Londres Moon"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Thorax"
                        "fecha" => "1955"
                        "volumen" => "10"
                        "paginaInicial" => "183"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13256435"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Duration of symptoms&#44; cl&#237;nical staging and survival in cancer of certains sites"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "A&#46; Mc Kenzie"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Brit&#46; J&#44; Cancer"
                        "fecha" => "1956"
                        "volumen" => "10"
                        "paginaInicial" => "401"
                        "itemHostRev" => array:3 [
                          "pii" => "S0959804903002727"
                          "estado" => "S300"
                          "issn" => "09598049"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Etude analytique de la semiologie clinique et radiologique des tumeurs bronchiques &#233;pith&#233;liales malignes en vue du pronostic"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "A&#46; Dumont"
                            1 => "H&#46; Durien"
                            2 => "F&#46; Decrerq"
                            3 => "P&#46; Mannes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Les Bronches"
                        "fecha" => "1962"
                        "volumen" => "12"
                        "paginaInicial" => "13"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Symptoms as an index of biological behaviour and prognosis in human cancer"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "A&#46;R&#46; Feinstein"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Nature"
                        "fecha" => "1966"
                        "volumen" => "209"
                        "paginaInicial" => "241"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5916704"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Les cancers bronchiques &#233;pidermoides op&#233;r&#233;s&#46; Influence pronostique des symptomes et de leur dur&#233;e"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "P&#46; Mannes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Rev&#46; Fr&#46; Mal&#46; Resp"
                        "fecha" => "1974"
                        "volumen" => "2"
                        "paginaInicial" => "713"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pr&#233;cocit&#233; diagnostique&#44; extensi&#243;n tumoral et r&#233;sultats d&#8217;&#233;xerese des cancers bronchiques &#233;pidermoides primitives"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:8 [
                            0 => "F&#46; Paris"
                            1 => "V&#46; Tarazona"
                            2 => "E&#46; Blasco"
                            3 => "A&#46; Canto"
                            4 => "M&#46; Casillas"
                            5 => "J&#46; Pastor"
                            6 => "A&#46;G&#46; Zarza"
                            7 => "J&#46; Padilla"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Bronchopneumologie"
                        "fecha" => "1977"
                        "volumen" => "27"
                        "paginaInicial" => "47"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/884567"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib0105"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Valeur pronostique des structures&#46; Le code TNM"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "P&#46; Renault"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Rev&#46; Fr&#46; Mal&#46; Resp"
                        "fecha" => "1977"
                        "volumen" => "5"
                        "numero" => "sup&#46; 2"
                        "paginaInicial" => "45"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib0110"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The Validity and Value of Histological and Cytological Classifications of Lung Cancer"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;D&#46; Reid"
                            1 => "A&#46;H&#46; Carra"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/1471-2407-14-673"
                      "Revista" => array:5 [
                        "tituloSerie" => "Cancer"
                        "fecha" => "1961"
                        "volumen" => "14"
                        "paginaInicial" => "673"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25227682"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib0115"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Use of BCG as an inmunostimulant in the surgical treatment of carcinoma of the lung"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "F&#46;R&#46; Edward"
                            1 => "F&#46; Whitwell"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Thorax"
                        "fecha" => "1974"
                        "volumen" => "29"
                        "paginaInicial" => "454"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib0120"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Regional inmunotherapy with intrapleural BCG for lung cancer&#46; Surgical considerat&#237;on"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46;F&#46; Mc&#46;Kneally"
                            1 => "C&#46; Maver"
                            2 => "H&#46;W&#46; Kausel"
                            3 => "R&#46;D&#46; Alley"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "J&#46; Thor&#46; Cardiovasc&#46; Surg"
                        "fecha" => "1976"
                        "volumen" => "72"
                        "paginaInicial" => "333"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib0125"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Selectivity in the surgical treatment of bronchogenic carcinoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46;L&#46; Paulson"
                            1 => "H&#46;C&#46; Urschel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "J&#46; Thor&#46; Cardiovasc&#46; Surg"
                        "fecha" => "1971"
                        "volumen" => "62"
                        "paginaInicial" => "554"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/03002896/0000001400000004/v1_201509151328/S030028961532593X/v1_201509151328/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9277"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Originales"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/03002896/0000001400000004/v1_201509151328/S030028961532593X/v1_201509151328/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028961532593X?idApp=UINPBA00003Z"
]
Share
Journal Information
Vol. 14. Issue 4.
Pages 158-163 (October - December 1978)
Share
Share
Download PDF
More article options
Vol. 14. Issue 4.
Pages 158-163 (October - December 1978)
Full text access
Resultados en el tratamiento quirurgico del cancer de pulmon. Factores pronosticos
Results in the surgical treatment of lung cancer. Prognostic factors
Visits
3002
V. Tarazona, J. Padilla, E. Blasco, A. Cantó, A.G. Zarza, J. Pastor, F. París
Servicio de Cirugía Torácica. Departamento de Cirugía. Centro Hospitalario « La Fe». Valencia
A. Romar*
* Sección de Bioestadística. Departamento de Cirugía. Centro Hospitalario « La Fe». Valencia
This item has received
Article information
Resumen

Se aporta una serie de 300 resecciones por cáncer de pulmón, de las que 169 tienen un «follow-up» superior a 3 años. Se expone la sistemática de estudio y tratamiento. Se clasifican los tumores según la codificación TNM propuesta por el American Joint Committe for Cáncer Staging and End Results Reporting y las resecciones según su amplitud y criterio quirúrgico. Se detallan los distintos tipos histopatológicos. En los resultados se relaciona el tiempo de evolución clínica con la histología. el tipo de exéresis y el TNM. La supervivencia total de la serie, incluyendo la mortalidad quirúrgica postoperatoria, fue del 33% para los 3 años y del 24% para los 5 años. Se destaca que la supervivencia en el estadio I es del 60% a los 3 años y del 46% a los 5 años, bajando al 17 °r y 129% respectivamente, para los pacientes con tumores en estadio II y del 15% y 9%, para los del estadio III. Se correlaciona la supervivencia y el criterio quirúrgico con mejores resultados cuando se ha utilizado la cirugía estándar. Con respecto al tamaño natural existe una diferencia significativa de supervivencia a los 3 años entre los tumores de 3cm. de diámetro máximo y los de más de 7cm. Por último, se describe la supervivencia de pacientes con afectación de pared torácica. Para nosotros estas cifras tienen un valor importante, ya que las incidencias quirúrgicas han sido amplias y no selectivas, con un 85% de resecabilidad en las toracotomías.

Summary

The authors contribute a series of 300 resections due to cancer of the lung, of which 160 had a follow-up superior to 3 years. They expound on the system of study and treatment used. They classify the tumors according to the T.N.M. code proposed by the American Joint Committee for Cáncer Staging and End Results Reporting, and the resections according to amplitude and surgical criteria. They then give the details of the different histological types. In the results, the authors relate the time of clinical evolution with histology, the type of exeresis and the T.N.M. The total survival of the series, including postoperatory surgical mortality was 33% at 3 years and 24% at 5 years. The authors emphasize the fact that the survival in state I was of 60% at 3 years and of 46% (at 5 years, lowering to 17 9% and 12% respectively for patients with tumors in state II, and to 15% and 9 7% for those in state III. They correlate survival and surgical criteria with better results when standard surgery was used. With respect to the size of the tumor, there is a significant difference of survival at 3 years between the tumors with a maximum of 3cm. of diameter and those of more than 7cm. Finally, the authors describe the survival of patients with affectation of the thoracic wall. For the authors these figures are of great value as the surgical indications were ampie and not selective, with 85% of resectability in the thoracotomies.

Full text is only aviable in PDF
Bibliografia
[1.]
H. Le Brigand.
Place de la chirurgie et recherche d’une stratégie thérapeutique.
Rev. Fr. Resp, 5 (1977), pp. 67
[2.]
F. Paris, M. Casillas, J. Pastor, A. Acosta.
Pasado y presente de la cirugía en el tratamiento del cáncer broncopulmonar.
En el Simposium sobre Tratamiento del Cáncer Broncopulmonar. Libro de Actas de la SEPAR, Ed. Liade, (1974), pp. 11
[3.]
A.S. Soorae, R. Abbey Smith.
Tumour size as a prognostic factor after resection of lung carcinoma.
Thorax, 32 (1977), pp. 19
[4.]
H. Le Brigand, P. Vayre, I. Noviant, R. Coutelle, B. Ranson-Britker, A. Semperleiva, P.H. David, J. Luizy, J. Le Plaideur.
Les indications «limites» du traitement chirurgical dans la tuberculose pulmonaire. Le probléme fonctional.
Rev. Tubero, et Pneumol, 31 (1967), pp. 919
[5.]
B. Ranson-Britker, F. Bouchar, P. Bechtel.
Valeur pronostique du cathéterisme cardiaque droit avant pneumonectomie chez les insuffisant respiratoires.
Pres. Med, 24 (1960), pp. 907
[6.]
B. Ranson-Britker.
La prevision du risque operatoire en chirurgie thoracique.
Bull. Physio. -Path. Resp, 2 (1966), pp. 15
[7.]
P. Renault, M. Merlier, J. Lange.
La codification TNM apliquée aux ancers bronchopulmonaires operés.
Rev. Fr. Mal. Resp, 3 (1975), pp. 59
[8.]
J.M. Chamberlain, J.M. Mc Neill, T.M. Parnassa, J.R. Edsall.
Bronchogenic Carcinoma. An agressive Surgical Attitude.
J. Thorac. Surg, 38 (1959), pp. 727
[9.]
R. Abbey Smith.
Pre-operative Assesment, Techniques and Results of Surgery for Bronchial Carcinoma.
Surgery of the Lung. The Coventry Conference.,
[10.]
C.F. Mountain.
Assesmentof the Role of Surgery for Control of Lung Cancer.
Ann. Thor. Surg, 24 (1977), pp. 365
[11.]
J. Mc Donald.
Biological predetermi-nism in human cáncer.
Surg. Gynec and Obst, 92 (1951), pp. 443
[12.]
G. Crile.
Gactors influencing the spread of cancer.
Surg. Gynec. and Obst, 103 (1956), pp. 342
[13.]
V.P. Collins, R.K. Loeffler, H. Tivey.
Observations on growth rates of human tumor.
Am. J. Roentgen, 76 (1969), pp. 989
[14.]
D.L. Paulson.
Survival rates following resection for bronchogenic carcinoma.
Annals of Surgery, 146 (1957), pp. 997
[15.]
J.R. Bignall, A.J. Londres Moon.
Survival after lung resection for bronchial carcinoma.
Thorax, 10 (1955), pp. 183
[16.]
A. Mc Kenzie.
Duration of symptoms, clínical staging and survival in cancer of certains sites.
Brit. J, Cancer, 10 (1956), pp. 401
[17.]
A. Dumont, H. Durien, F. Decrerq, P. Mannes.
Etude analytique de la semiologie clinique et radiologique des tumeurs bronchiques épithéliales malignes en vue du pronostic.
Les Bronches, 12 (1962), pp. 13
[18.]
A.R. Feinstein.
Symptoms as an index of biological behaviour and prognosis in human cancer.
Nature, 209 (1966), pp. 241
[19.]
P. Mannes.
Les cancers bronchiques épidermoides opérés. Influence pronostique des symptomes et de leur durée.
Rev. Fr. Mal. Resp, 2 (1974), pp. 713
[20.]
F. Paris, V. Tarazona, E. Blasco, A. Canto, M. Casillas, J. Pastor, A.G. Zarza, J. Padilla.
Précocité diagnostique, extensión tumoral et résultats d’éxerese des cancers bronchiques épidermoides primitives.
Bronchopneumologie, 27 (1977), pp. 47
[21.]
P. Renault.
Valeur pronostique des structures. Le code TNM.
Rev. Fr. Mal. Resp, 5 (1977), pp. 45
[22.]
J.D. Reid, A.H. Carra.
The Validity and Value of Histological and Cytological Classifications of Lung Cancer.
[23.]
F.R. Edward, F. Whitwell.
Use of BCG as an inmunostimulant in the surgical treatment of carcinoma of the lung.
Thorax, 29 (1974), pp. 454
[24.]
M.F. Mc.Kneally, C. Maver, H.W. Kausel, R.D. Alley.
Regional inmunotherapy with intrapleural BCG for lung cancer. Surgical consideratíon.
J. Thor. Cardiovasc. Surg, 72 (1976), pp. 333
[25.]
D.L. Paulson, H.C. Urschel.
Selectivity in the surgical treatment of bronchogenic carcinoma.
J. Thor. Cardiovasc. Surg, 62 (1971), pp. 554
Copyright © 1978. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
Article options
Tools

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