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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">En la actualidad&#44; el diagn&#243;stico de la neoplasia primaria m&#250;ltiple &#40;NPM&#41; pulmonar representa aproximadamente el 0&#44;2-20&#37; de los casos de c&#225;ncer de pulm&#243;n<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">1</span></a>&#46; Las 2 presentaciones de NPM pulmonar&#44; tanto sincr&#243;nicas como metacr&#243;nicas&#44; pueden manifestarse de 2 maneras&#44; en primer lugar&#44; como una lesi&#243;n metast&#225;sica de un tumor primario pulmonar y&#44; en segundo lugar&#44; con lesiones m&#250;ltiples sin estar relacionadas entre s&#237;&#44; llegando a ser patolog&#237;as primarias&#46; El t&#233;rmino NPM pulmonar se usa para referirse a esta &#250;ltima situaci&#243;n&#44; donde 2 o m&#225;s tumores malignos primarios no se relacionan entre s&#237;&#44; llegando a presentarse de forma simult&#225;nea o sucesivamente a nivel pulmonar<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">2</span></a>&#46; La descripci&#243;n de la pr&#225;ctica de una segunda lobectom&#237;a pulmonar en la bibliograf&#237;a es de gran rareza&#46; Este estudio pretende determinar la morbimortalidad postoperatoria en pacientes sometidos a una segunda lobectom&#237;a pulmonar&#46; Se realiz&#243; un estudio descriptivo de morbimortalidad postoperatoria &#40;intrahospitalaria o primeros 30 d&#237;as&#41; en una serie de pacientes intervenidos de una segunda lobectom&#237;a pulmonar desde el 01&#47;01&#47;2009 hasta el 31&#47;12&#47;2014&#46; No se consideraron las segundas lobectom&#237;as que implicaron la realizaci&#243;n de una neumonectom&#237;a de compleci&#243;n&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">De una muestra de 648 pacientes intervenidos de una lobectom&#237;a pulmonar&#44; a 6 pacientes &#40;0&#44;9&#37;&#41; se les practic&#243; una segunda resecci&#243;n lobar&#46; La muestra la conforman 4 hombres &#40;66&#44;6&#37;&#41; y 2 mujeres &#40;33&#44;4&#37;&#41;&#44; la edad media fue de 53 a&#241;os con una desviaci&#243;n t&#237;pica &#40;&#963;&#41; de 7&#46; Se especifican las caracter&#237;sticas de los pacientes en la <a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#46; El abordaje final m&#225;s frecuente fue la toracotom&#237;a&#44; si bien el 50&#37; se inici&#243; por cirug&#237;a tor&#225;cica videoasistida&#46; Se efectuaron lobectom&#237;as contralaterales en 4 pacientes &#40;66&#44;6&#37;&#41;&#46; El principal tipo histol&#243;gico&#44; considerando ambas cirug&#237;as&#44; fue el adenocarcinoma pulmonar &#40;75&#37;&#41; &#40;9 resultados&#41;&#44; el principal estadio patol&#243;gico&#44; seg&#250;n la clasificaci&#243;n TNM de la IASLC &#40;7&#46;<span class="elsevierStyleSup">a</span> edici&#243;n&#44; 2009&#41;&#44; en ambas cirug&#237;as fue el IA &#40;75&#37;&#41; y 4 casos &#40;66&#44;6&#37;&#41; se consideraron como segundo carcinoma primario pulmonar &#40;SCPP&#41; seg&#250;n los criterios de Martini y Melamed<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">3</span></a>&#46; La morbilidad tras la segunda cirug&#237;a fue del 50&#37; &#40;3 casos&#41;&#44; con una nula mortalidad postoperatoria &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Los principales hallazgos intraoperatorios y dificultades t&#233;cnicas en los pacientes intervenidos de lobectom&#237;as ipsilaterales estuvieron relacionados con las firmes adherencias pleurales y fibrosis hiliar&#44; siendo necesaria en los 2 casos la apertura del pericardio para un adecuado control vascular&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">La mediana de tiempo entre cirug&#237;as fue de 24 meses &#40;rango 1-106&#41;&#46; Despu&#233;s de una media de seguimiento de 203 semanas &#40;3&#44;5 a&#241;os&#41;&#44; 2 pacientes &#40;33&#37;&#41; fallecieron por progresi&#243;n de su enfermedad&#44; mientras que los dem&#225;s pacientes est&#225;n vivos sin signos de recidiva&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Los resultados de supervivencia tras la resecci&#243;n pulmonar por enfermedad neopl&#225;sica&#44; sincr&#243;nica o metacr&#243;nica con un intervalo inferior a 4 a&#241;os&#44; son variables&#44; aunque generalmente pobres&#44; lo que indica que muchos de estos pacientes pueden haber tenido una met&#225;stasis pulmonar en lugar de un SCPP&#46; Dicha circunstancia justifica una evaluaci&#243;n minuciosa de estos pacientes para intentar diferenciar entre met&#225;stasis y un SCPP&#44; aunque no se han definido los criterios para distinguirlos<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">4</span></a>&#46; La mayor&#237;a de los SCPP son del mismo tipo histol&#243;gico y pocos criterios son confiables en s&#237; mismos para su distinci&#243;n&#46; Dichos criterios incluyen diferentes caracter&#237;sticas histol&#243;gicas o puntos de interrupci&#243;n del ADN por secuenciaci&#243;n&#44; siendo por lo tanto necesaria una exhaustiva evaluaci&#243;n histol&#243;gica para una correcta clasificaci&#243;n pron&#243;stica<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">5</span></a>&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Otra medida a tener en cuenta para la precisa evaluaci&#243;n de estos pacientes va encaminada a la estratificaci&#243;n del riesgo asociado a la resecci&#243;n pulmonar&#44; enfatizando en la evaluaci&#243;n cardiol&#243;gica&#44; el volumen m&#225;ximo de aire espirado en el primer segundo&#44; la capacidad de difusi&#243;n pulmonar del mon&#243;xido de carbono y las pruebas de esfuerzo cardiopulmonares<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">6</span></a>&#46; En nuestro medio&#44; y teniendo en cuenta el periodo de estudio&#44; el protocolo de evaluaci&#243;n funcional preoperatorio se bas&#243; en la gu&#237;a de la European Respiratory Society y European Society of Thoracic Surgeons del 2009 sobre tratamiento radical del c&#225;ncer de pulm&#243;n&#44; si bien en uno de nuestros pacientes &#40;caso 1&#41; el estudio funcional respiratorio no fue el adecuado debido a la coincidencia de circunstancias f&#237;sicas limitantes &#40;paciente portador de traqueostom&#237;a&#41;&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Debido al escaso nivel de evidencia disponible&#44; no existen recomendaciones espec&#237;ficas sobre el papel de la adyuvancia en pacientes intervenidos por NPM pulmonar&#46; En caso de pacientes con NPM sincr&#243;nicas&#44; ser&#225; el tumor de mayor estadio el que determine la necesidad&#44; o no&#44; de tratamiento adyuvante&#59; la situaci&#243;n es incierta cuando un paciente tiene 2 lesiones sincr&#243;nicas o metacr&#243;nicas en estadio <span class="elsevierStyleSmallCaps">i</span>&#44; ya que&#44; aunque el pron&#243;stico es peor que en pacientes con CPCNP estadio <span class="elsevierStyleSmallCaps">i</span> &#250;nico&#44; el beneficio absoluto de la quimioterapia adyuvante basada en cisplatino no est&#225; claro<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">7</span></a>&#46; Hay ciertos factores que podr&#237;an considerarse al decidir si usar o no la quimioterapia adyuvante&#44; tales como el intervalo de tiempo entre las neoplasias&#44; determinadas caracter&#237;sticas histol&#243;gicas desfavorables &#40;grado de diferenciaci&#243;n&#44; invasi&#243;n vascular y linf&#225;tica&#44; patr&#243;n s&#243;lido y micropapilar&#41;&#44; el tama&#241;o tumoral&#44; las comorbilidades y la evaluaci&#243;n funcional del paciente&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">A pesar del escaso n&#250;mero de pacientes intervenidos de una segunda lobectom&#237;a pulmonar en nuestro medio&#44; consideramos que es una t&#233;cnica factible&#44; con nula mortalidad pero con una importante morbilidad&#46; De los 3 casos que presentaron alguna complicaci&#243;n&#44; y en base a la clasificaci&#243;n de complicaciones postoperatorias descrita por Clavien-Dindo<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">8</span></a>&#44; 2 pacientes se clasificaron como grado <span class="elsevierStyleSmallCaps">iii</span>a &#40;complicaci&#243;n que requiere de intervenci&#243;n sin anestesia general&#41; y otro como grado <span class="elsevierStyleSmallCaps">iv</span>a &#40;complicaci&#243;n que implica riesgo vital por disfunci&#243;n de un &#250;nico &#243;rgano&#41;&#46; Con el objetivo de evitar hemorragias mayores intraoperatorias&#44; en caso de efectuarse una resecci&#243;n ipsilateral&#44; habr&#225; que prever una disecci&#243;n compleja del hilio&#44; siendo la disecci&#243;n intraperic&#225;rdica un recurso quir&#250;rgico a tener en cuenta en este grupo de pacientes&#46;</p></span>"
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          "leyenda" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">ADC&#58; adenocarcinoma pulmonar&#59; AP&#58; anatom&#237;a patol&#243;gica&#59; DLCO&#58; capacidad de difusi&#243;n pulmonar del mon&#243;xido de carbono&#59; FAP&#58; fuga a&#233;rea persistente&#59; F&#58; femenino&#59; FEV<span class="elsevierStyleInf">1</span>&#58; volumen m&#225;ximo de aire espirado en el primer segundo&#59; FVC&#58; capacidad vital forzada&#59; KCO&#58; constante de difusio¿n para el mono¿xido de carbono&#59; LID&#58; lobectom&#237;a inferior derecha&#59; LII&#58; lobectom&#237;a inferior izquierda&#59; LM&#58; lobectom&#237;a media&#59; LSD&#58; lobectom&#237;a superior derecha&#59; LSI&#58; lobectom&#237;a superior izquierda&#59; M&#58; masculino&#59; NC&#58; no consta&#59; RA&#58; resecci&#243;n at&#237;pica&#59; VATS&#58; cirug&#237;a tor&#225;cica videoasistida&#59; VO2&#58; valores de consumo de oxi¿geno&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleSup">a</span>Transcurrido en meses entre la primera y segunda cirug&#237;a&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleSup">b</span>Seg&#250;n TNM 7&#46;<span class="elsevierStyleSup">a</span> edici&#243;n &#40;2009&#41;&#46;</p>"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Caso&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Edad&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Sexo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Comorbilidades&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">FVC &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">FEV<span class="elsevierStyleInf">1</span> &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">DLCO &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">KCO &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">VO2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">1&#46;<span class="elsevierStyleSup">a</span> cirug&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">AP &#40;Estadio&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Tiempo<span class="elsevierStyleSup">a</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">2&#46;<span class="elsevierStyleSup">a</span> cirug&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">AP &#40;estadio<span class="elsevierStyleSup">b</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Morbilidad&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Mortalidad&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">53&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">M&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">102&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">102&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">LSD por toracotom&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Ca&#46; neuroendocrino con focos de ADC &#40;IA&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">LSI por toracotom&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">ADC &#40;IIIA&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">64&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">M&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62;<span class="elsevierStyleHsp" style=""></span>2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">169&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">114&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">90&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">109&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">LM por VATS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">ADC &#40;IA&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">LSD intraperic&#225;rdica por VATS convertida a toracotom&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">ADC &#40;IB&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Hidroneumot&#243;rax&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">59&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">M&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">125&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">94&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">60&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">62&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">21&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">LID por toracotom&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">ADC &#40;IA&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">106&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">LII por toracotom&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">ADC &#40;IA&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">56&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">M&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62;<span class="elsevierStyleHsp" style=""></span>2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">99&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">63&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">98&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">124&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">LSI por toracotom&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">ADC &#40;IB&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">71&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">LSD por VATS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">ADC &#40;IA&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">66&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">F&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62;<span class="elsevierStyleHsp" style=""></span>2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">85&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">58&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">51&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">59&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">LSD<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>RA LID por toracotom&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">ADC<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>Ca&#46; escamoso &#40;IA y IA respectivamente&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">24&nbsp;\t\t\t\t\t\t\n
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Treatment outcomes for patients with synchronous multiple primary non-small cell lung cancer"
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                          "autores" => array:6 [
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                            3 => "W&#46;J&#46; Koh"
                            4 => "G&#46;Y&#46; Suh"
                            5 => "M&#46;P&#46; Chung"
                          ]
                        ]
                      ]
                    ]
                  ]
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                    0 => array:2 [
                      "doi" => "10.1016/j.lungcan.2010.11.008"
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                        "fecha" => "2011"
                        "volumen" => "73"
                        "paginaInicial" => "237"
                        "paginaFinal" => "242"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21145616"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The equivalent efficacy of multiple operations for multiple primary lung cancer and a single operation for single primary lung cancer"
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                          "etal" => true
                          "autores" => array:6 [
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                            1 => "H&#46;L&#46; Yang"
                            2 => "W&#46;P&#46; Yan"
                            3 => "Z&#46; Liang"
                            4 => "H&#46;C&#46; Xiong"
                            5 => "X&#46;Z&#46; Kang"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.21037/jtd.2016.03.42"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Thorac Dis"
                        "fecha" => "2016"
                        "volumen" => "8"
                        "paginaInicial" => "855"
                        "paginaFinal" => "861"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27162659"
                            "web" => "Medline"
                          ]
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                    ]
                  ]
                ]
              ]
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              "identificador" => "bib0055"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Multiple primary lung cancers"
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                          "autores" => array:2 [
                            0 => "N&#46; Martini"
                            1 => "M&#46;R&#46; Melamed"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Thorac Cardiovasc Surg"
                        "fecha" => "1975"
                        "volumen" => "70"
                        "paginaInicial" => "606"
                        "paginaFinal" => "612"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/170482"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Special treatment issues in lung cancer&#58; ACCP evidence based clinical practice guidelines &#40;2<span class="elsevierStyleHsp" style=""></span>nd edition&#41;"
                      "autores" => array:1 [
                        0 => array:3 [
                          "colaboracion" => "American College of Chest Physicians"
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                          "autores" => array:4 [
                            0 => "K&#46;R&#46; Shen"
                            1 => "B&#46;F&#46; Meyers"
                            2 => "J&#46;M&#46; Larner"
                            3 => "D&#46;R&#46; Jones"
                          ]
                        ]
                      ]
                    ]
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                    0 => array:2 [
                      "doi" => "10.1378/chest.07-1382"
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                        "tituloSerie" => "Chest"
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                        "volumen" => "132"
                        "paginaInicial" => "290S"
                        "paginaFinal" => "305S"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17873175"
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              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The IASLC lung cancer staging project&#58; Background data and proposed criteria to distinguish separate primary lung cancers from metastatic foci in patients with two lung tumors in the forthcoming eighth edition of the TNM classification for lung cancer"
                      "autores" => array:1 [
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                            4 => "D&#46;A&#46; Arenberg"
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                        "volumen" => "11"
                        "paginaInicial" => "651"
                        "paginaFinal" => "665"
                        "link" => array:1 [
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                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "ERS&#47;ESTS clinical guidelines on fitness for radical therapy in lung cancer patients &#40;surgery and chemo-radiotherapy&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
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                            3 => "G&#46; Rocco"
                            4 => "J&#46;P&#46; Sculier"
                            5 => "G&#46; Varela"
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                        "paginaFinal" => "41"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19567600"
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                  "referenciaCompleta" => "Stinchcombe TE&#44; Carr S&#44; Loo Jr BW&#46; Multiple primary lung cancers&#46; En&#58; Jett JR&#44; Lilenbaum RG&#44; Friedberg JS&#44; editores&#46; UpToDate&#44; Waltham&#44; MA&#46; UpToDate&#44; 2017&#46;"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Classification of surgical complications&#58; a new proposal with evaluation in a cohort of 6336 patients and results of a survey"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
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Carta científica
Segundas lobectomías pulmonares: ¿son factibles y seguras?
Second Lung Lobectomies: Are They Safe And Feasible?
Pablo A. Ordóñez Lozanoa,
Corresponding author
paordonnezl@hotmail.com

Autor para correspondencia.
, Iñigo Royo Crespob, Nadia Muñoz-Gonzáleza, Raúl Embún Florb
a Servicio de Cirugía Torácica, Hospital Universitario Miguel Servet, Zaragoza, España
b Servicio de Cirugía Torácica, Hospital Universitario Miguel Servet, IIS Aragón, Zaragoza, España
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La descripci&#243;n de la pr&#225;ctica de una segunda lobectom&#237;a pulmonar en la bibliograf&#237;a es de gran rareza&#46; Este estudio pretende determinar la morbimortalidad postoperatoria en pacientes sometidos a una segunda lobectom&#237;a pulmonar&#46; Se realiz&#243; un estudio descriptivo de morbimortalidad postoperatoria &#40;intrahospitalaria o primeros 30 d&#237;as&#41; en una serie de pacientes intervenidos de una segunda lobectom&#237;a pulmonar desde el 01&#47;01&#47;2009 hasta el 31&#47;12&#47;2014&#46; No se consideraron las segundas lobectom&#237;as que implicaron la realizaci&#243;n de una neumonectom&#237;a de compleci&#243;n&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">De una muestra de 648 pacientes intervenidos de una lobectom&#237;a pulmonar&#44; a 6 pacientes &#40;0&#44;9&#37;&#41; se les practic&#243; una segunda resecci&#243;n lobar&#46; La muestra la conforman 4 hombres &#40;66&#44;6&#37;&#41; y 2 mujeres &#40;33&#44;4&#37;&#41;&#44; la edad media fue de 53 a&#241;os con una desviaci&#243;n t&#237;pica &#40;&#963;&#41; de 7&#46; Se especifican las caracter&#237;sticas de los pacientes en la <a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#46; El abordaje final m&#225;s frecuente fue la toracotom&#237;a&#44; si bien el 50&#37; se inici&#243; por cirug&#237;a tor&#225;cica videoasistida&#46; Se efectuaron lobectom&#237;as contralaterales en 4 pacientes &#40;66&#44;6&#37;&#41;&#46; El principal tipo histol&#243;gico&#44; considerando ambas cirug&#237;as&#44; fue el adenocarcinoma pulmonar &#40;75&#37;&#41; &#40;9 resultados&#41;&#44; el principal estadio patol&#243;gico&#44; seg&#250;n la clasificaci&#243;n TNM de la IASLC &#40;7&#46;<span class="elsevierStyleSup">a</span> edici&#243;n&#44; 2009&#41;&#44; en ambas cirug&#237;as fue el IA &#40;75&#37;&#41; y 4 casos &#40;66&#44;6&#37;&#41; se consideraron como segundo carcinoma primario pulmonar &#40;SCPP&#41; seg&#250;n los criterios de Martini y Melamed<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">3</span></a>&#46; La morbilidad tras la segunda cirug&#237;a fue del 50&#37; &#40;3 casos&#41;&#44; con una nula mortalidad postoperatoria &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Los principales hallazgos intraoperatorios y dificultades t&#233;cnicas en los pacientes intervenidos de lobectom&#237;as ipsilaterales estuvieron relacionados con las firmes adherencias pleurales y fibrosis hiliar&#44; siendo necesaria en los 2 casos la apertura del pericardio para un adecuado control vascular&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">La mediana de tiempo entre cirug&#237;as fue de 24 meses &#40;rango 1-106&#41;&#46; Despu&#233;s de una media de seguimiento de 203 semanas &#40;3&#44;5 a&#241;os&#41;&#44; 2 pacientes &#40;33&#37;&#41; fallecieron por progresi&#243;n de su enfermedad&#44; mientras que los dem&#225;s pacientes est&#225;n vivos sin signos de recidiva&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Los resultados de supervivencia tras la resecci&#243;n pulmonar por enfermedad neopl&#225;sica&#44; sincr&#243;nica o metacr&#243;nica con un intervalo inferior a 4 a&#241;os&#44; son variables&#44; aunque generalmente pobres&#44; lo que indica que muchos de estos pacientes pueden haber tenido una met&#225;stasis pulmonar en lugar de un SCPP&#46; Dicha circunstancia justifica una evaluaci&#243;n minuciosa de estos pacientes para intentar diferenciar entre met&#225;stasis y un SCPP&#44; aunque no se han definido los criterios para distinguirlos<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">4</span></a>&#46; La mayor&#237;a de los SCPP son del mismo tipo histol&#243;gico y pocos criterios son confiables en s&#237; mismos para su distinci&#243;n&#46; Dichos criterios incluyen diferentes caracter&#237;sticas histol&#243;gicas o puntos de interrupci&#243;n del ADN por secuenciaci&#243;n&#44; siendo por lo tanto necesaria una exhaustiva evaluaci&#243;n histol&#243;gica para una correcta clasificaci&#243;n pron&#243;stica<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">5</span></a>&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Otra medida a tener en cuenta para la precisa evaluaci&#243;n de estos pacientes va encaminada a la estratificaci&#243;n del riesgo asociado a la resecci&#243;n pulmonar&#44; enfatizando en la evaluaci&#243;n cardiol&#243;gica&#44; el volumen m&#225;ximo de aire espirado en el primer segundo&#44; la capacidad de difusi&#243;n pulmonar del mon&#243;xido de carbono y las pruebas de esfuerzo cardiopulmonares<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">6</span></a>&#46; En nuestro medio&#44; y teniendo en cuenta el periodo de estudio&#44; el protocolo de evaluaci&#243;n funcional preoperatorio se bas&#243; en la gu&#237;a de la European Respiratory Society y European Society of Thoracic Surgeons del 2009 sobre tratamiento radical del c&#225;ncer de pulm&#243;n&#44; si bien en uno de nuestros pacientes &#40;caso 1&#41; el estudio funcional respiratorio no fue el adecuado debido a la coincidencia de circunstancias f&#237;sicas limitantes &#40;paciente portador de traqueostom&#237;a&#41;&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Debido al escaso nivel de evidencia disponible&#44; no existen recomendaciones espec&#237;ficas sobre el papel de la adyuvancia en pacientes intervenidos por NPM pulmonar&#46; En caso de pacientes con NPM sincr&#243;nicas&#44; ser&#225; el tumor de mayor estadio el que determine la necesidad&#44; o no&#44; de tratamiento adyuvante&#59; la situaci&#243;n es incierta cuando un paciente tiene 2 lesiones sincr&#243;nicas o metacr&#243;nicas en estadio <span class="elsevierStyleSmallCaps">i</span>&#44; ya que&#44; aunque el pron&#243;stico es peor que en pacientes con CPCNP estadio <span class="elsevierStyleSmallCaps">i</span> &#250;nico&#44; el beneficio absoluto de la quimioterapia adyuvante basada en cisplatino no est&#225; claro<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">7</span></a>&#46; Hay ciertos factores que podr&#237;an considerarse al decidir si usar o no la quimioterapia adyuvante&#44; tales como el intervalo de tiempo entre las neoplasias&#44; determinadas caracter&#237;sticas histol&#243;gicas desfavorables &#40;grado de diferenciaci&#243;n&#44; invasi&#243;n vascular y linf&#225;tica&#44; patr&#243;n s&#243;lido y micropapilar&#41;&#44; 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                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">2&#46;<span class="elsevierStyleSup">a</span> cirug&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">AP &#40;estadio<span class="elsevierStyleSup">b</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Morbilidad&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Mortalidad&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">53&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">M&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">102&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">102&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">LSD por toracotom&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Ca&#46; neuroendocrino con focos de ADC &#40;IA&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">LSI por toracotom&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">ADC &#40;IIIA&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">64&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">M&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62;<span class="elsevierStyleHsp" style=""></span>2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">169&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">114&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">90&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">109&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">LM por VATS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">ADC &#40;IA&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">LSD intraperic&#225;rdica por VATS convertida a toracotom&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">ADC &#40;IB&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Hidroneumot&#243;rax&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">59&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">M&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">125&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">94&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">60&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">62&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">21&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">LID por toracotom&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">ADC &#40;IA&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">106&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">LII por toracotom&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">ADC &#40;IA&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">56&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">M&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62;<span class="elsevierStyleHsp" style=""></span>2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">99&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">63&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">98&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">124&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">LSI por toracotom&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">ADC &#40;IB&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">71&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">LSD por VATS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">ADC &#40;IA&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">66&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">F&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62;<span class="elsevierStyleHsp" style=""></span>2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">85&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">58&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">51&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">59&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">LSD<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>RA LID por toracotom&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">ADC<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>Ca&#46; escamoso &#40;IA y IA respectivamente&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">LM por toracotom&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Ca&#46; escamoso &#40;IA&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">FAP<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>empiema&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">45&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">F&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">95&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">90&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">111&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">129&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">LID por VATS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Ca&#46; neuroendocrino &#40;IA&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">LII por VATS convertida a toracotom&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Carcinoide t&#237;pico &#40;IA&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Atelectasia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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                            0 => "E&#46;J&#46; Jung"
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                            2 => "K&#46; Jeon"
                            3 => "W&#46;J&#46; Koh"
                            4 => "G&#46;Y&#46; Suh"
                            5 => "M&#46;P&#46; Chung"
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                    0 => array:2 [
                      "doi" => "10.1016/j.lungcan.2010.11.008"
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                      "titulo" => "The equivalent efficacy of multiple operations for multiple primary lung cancer and a single operation for single primary lung cancer"
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                          "autores" => array:6 [
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                            3 => "Z&#46; Liang"
                            4 => "H&#46;C&#46; Xiong"
                            5 => "X&#46;Z&#46; Kang"
                          ]
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                    0 => array:2 [
                      "doi" => "10.21037/jtd.2016.03.42"
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                        "tituloSerie" => "J Thorac Dis"
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                        "paginaInicial" => "855"
                        "paginaFinal" => "861"
                        "link" => array:1 [
                          0 => array:2 [
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                        "paginaFinal" => "612"
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                        "paginaInicial" => "17"
                        "paginaFinal" => "41"
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Article information
ISSN: 03002896
Original language: Spanish
DOI:10.1016/j.arbres.2017.08.011
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