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Estado actual de distintos procederes diagnósticos y terapéuticos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "43" "paginaFinal" => "49" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Mariano García-Yuste, José María Matilla, Federico González-Aragoneses, Félix Heras" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Mariano" "apellidos" => "García-Yuste" "email" => array:1 [ 0 => "mgyuste2@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "José María" "apellidos" => "Matilla" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 2 => array:3 [ "nombre" => "Federico" "apellidos" => "González-Aragoneses" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 3 => array:3 [ "nombre" => "Félix" "apellidos" => "Heras" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Cirugía Torácica, Hospital Clínico Universitario, Valladolid, España" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Servicio de Cirugía Torácica, Hospital Gregorio Marañón, Madrid, España" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Autor para correspondencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Detection of Lymph Node Involvement and Surgical Treatment of Pulmonary Neoplastic Processes. Current State of Diagnostic and Therapeutic Procedures" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec155105" "palabras" => array:5 [ 0 => "Mediastinoscopia" 1 => "Mediastinoscopia extendida" 2 => "EBUS-TBNA" 3 => "Resección sublobar" 4 => "Metastasectomía pulmonar" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec155104" "palabras" => array:5 [ 0 => "Mediastinoscopy" 1 => "Extended mediastinoscopy" 2 => "EBUS-TBNA" 3 => "Sublobar resection" 4 => "Pulmonary metastasectomy" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Este trabajo se basa en el análisis de distintas publicaciones relacionadas con la estadificación y el tratamiento quirúrgico de procesos neoplásicos pulmonares primitivos y metastásicos. En los pacientes con carcinoma broncogénico, determinar la afectación ganglionar resulta imprescindible para programar un tratamiento adecuado. La indicación y la secuencia del procedimiento a emplear (tomografía computarizada, tomografía por emisión de positrones, punción transbronquial, punción aspirativa transbronquial guiada por ultrasonidos, videomediastinoscopia, mediastinotomía anterior, videotoracoscopia) se evalúan en razón de la sensibilidad, la especificidad y el valor predictivo positivo y negativo de los distintos métodos.</p><p class="elsevierStyleSimplePara elsevierViewall">Otro reto de interés es la definición del criterio de indicación de una resección sublobar en determinados tumores y pacientes. Se analizan distintos factores, como la edad, la función pulmonar, la localización tumoral y el tipo de resección sublobar. También se consideran los niveles de evidencia y los grados de recomendación del procedimiento.</p><p class="elsevierStyleSimplePara elsevierViewall">En el tratamiento de metástasis pulmonares de carcinoma colorrectal, la resección quirúrgica es una opción terapéutica aceptada. Se analiza de forma pormenorizada su indicación, basada en la obtención de tasas aceptables de supervivencia y el conocimiento de la repercusión de distintos factores pronósticos (intervalo libre de enfermedad, número de metástasis, presencia de metástasis hepáticas, presencia de afectación ganglionar, o valores preoperatorios elevados de antígeno carcinoembrionario).</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">An analysis is made of different publications associated with the surgical staging and treatment of primary and metastasic pulmonary neoplastic processes. A suitable treatment program is essential to determine lymph node involvement in patients with bronchogenic carcinoma. The indication and sequence of the procedure to use (CT-PET, transbronchial puncture, videomediastinoscopic ultrasound guided transbronchial needle aspiration) is evaluated in accordance to the sensitivity, specificity and positive and negative predictive value of the different methods.</p><p class="elsevierStyleSimplePara elsevierViewall">Another interesting challenge is to define the criteria for indicating a sublobar resection in certain tumours and patients. Different factors, age, lung function, tumour location and type of sublobar resection, are analysed. Levels of evidence and recommendations of the procedure are also considered.</p><p class="elsevierStyleSimplePara elsevierViewall">Surgical resection is an accepted therapeutic option in the treatment of colorectal cancer lung metastases. Its indication is based on acceptable survival rates and knowledge of the impact of various factors (interval free of disease, number of metastases, presence of liver metastasis, presence of lymph node involvement, or increased pre-operative levels of carcinoembryonic antigen), is analysed in detail.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:64 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Extended cervical mediastinoscopy in the staging of bronchogenic carcinoma of the lung" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S. Call" 1 => "R. Rami-Porta" 2 => "M. Serra-Mitjans" 3 => "R. Saumench" 4 => "C. Bidegain" 5 => "M. 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Year/Month | Html | Total | |
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2024 November | 1 | 6 | 7 |
2024 October | 31 | 31 | 62 |
2024 September | 32 | 30 | 62 |
2024 August | 45 | 44 | 89 |
2024 July | 41 | 34 | 75 |
2024 June | 43 | 32 | 75 |
2024 May | 51 | 47 | 98 |
2024 April | 36 | 36 | 72 |
2024 March | 31 | 34 | 65 |
2024 February | 23 | 45 | 68 |
2023 March | 10 | 5 | 15 |
2023 February | 52 | 35 | 87 |
2023 January | 38 | 34 | 72 |
2022 December | 30 | 34 | 64 |
2022 November | 41 | 56 | 97 |
2022 October | 25 | 49 | 74 |
2022 September | 35 | 40 | 75 |
2022 August | 28 | 49 | 77 |
2022 July | 32 | 50 | 82 |
2022 June | 23 | 48 | 71 |
2022 May | 26 | 34 | 60 |
2022 April | 30 | 45 | 75 |
2022 March | 28 | 34 | 62 |
2022 February | 28 | 28 | 56 |
2022 January | 35 | 35 | 70 |
2021 December | 14 | 40 | 54 |
2021 November | 33 | 57 | 90 |
2021 October | 27 | 51 | 78 |
2021 September | 22 | 66 | 88 |
2021 August | 43 | 39 | 82 |
2021 July | 31 | 34 | 65 |
2021 June | 38 | 43 | 81 |
2021 May | 42 | 38 | 80 |
2021 April | 39 | 55 | 94 |
2021 March | 35 | 22 | 57 |
2021 February | 40 | 25 | 65 |
2021 January | 23 | 17 | 40 |
2020 December | 40 | 13 | 53 |
2020 November | 21 | 14 | 35 |
2020 October | 21 | 6 | 27 |
2020 September | 13 | 8 | 21 |
2020 August | 37 | 28 | 65 |
2020 July | 35 | 19 | 54 |
2020 June | 12 | 9 | 21 |
2020 May | 23 | 11 | 34 |
2020 April | 22 | 15 | 37 |
2020 March | 39 | 21 | 60 |
2020 February | 22 | 20 | 42 |
2020 January | 46 | 22 | 68 |
2019 December | 26 | 17 | 43 |
2019 November | 18 | 12 | 30 |
2019 October | 18 | 14 | 32 |
2019 September | 20 | 10 | 30 |
2019 August | 25 | 15 | 40 |
2019 July | 31 | 30 | 61 |
2019 June | 30 | 15 | 45 |
2019 May | 30 | 11 | 41 |
2019 April | 36 | 40 | 76 |
2019 March | 39 | 18 | 57 |
2019 February | 16 | 12 | 28 |
2019 January | 13 | 10 | 23 |
2018 December | 15 | 12 | 27 |
2018 November | 23 | 20 | 43 |
2018 October | 31 | 20 | 51 |
2018 September | 22 | 7 | 29 |
2018 May | 11 | 2 | 13 |
2018 April | 16 | 8 | 24 |
2018 March | 9 | 10 | 19 |
2018 February | 15 | 16 | 31 |
2018 January | 21 | 22 | 43 |
2017 December | 14 | 27 | 41 |
2017 November | 17 | 22 | 39 |
2017 October | 21 | 24 | 45 |
2017 September | 22 | 17 | 39 |
2017 August | 29 | 54 | 83 |
2017 July | 23 | 53 | 76 |
2017 June | 28 | 57 | 85 |
2017 May | 23 | 24 | 47 |
2017 April | 14 | 19 | 33 |
2017 March | 18 | 31 | 49 |