Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Rib Fractures/therapy , Intensive Care Units , Retrospective Studies , Hospitalization , Length of StaySubject(s)
Rib Fractures , Humans , Rib Fractures/therapy , Length of Stay , Hospitalization , Critical Care , Retrospective StudiesABSTRACT
Traditional approach of bilateral lesions usually involves bilateral approaches instead of classical thoracotomy or video-assisted thoracoscopic surgery (VATS) surgery, and often at two different times. During visit of Dr. Gonzalez Rivas at Master Class to Málaga, we performed right upper lobectomy and S3 wedge resection left upper lobe of a two synchronous bilateral lung lesions case with subxiphoid single incision approach. We are reporting the first case of a lobectomy combined with a wedge resection performed through an uniportal subxiphoid bilateral VATS in Spain.
ABSTRACT
Objetivo. El propósito del estudio es demostrar la validez del diagnóstico citológico mediante punción aspiración transtorácica guiada por tomografía computarizada (TC) especialmente en hospitales que no disponen de procedimientos diagnósticos más intervencionistas. Material y métodos. Estudio retrospectivo de 163 casos de punciones transtorácicas con aguja fina en pacientes con sospecha de cáncer de pulmón durante 2000-2009. Resultados. Ciento dieciocho punciones positivas para células malignas, 4 sospechosas, 28 negativas y 13 insuficientes. Sensibilidad: 90,76%; valor predictivo positivo: 100%. Diecisiete neumotórax (10,42%), sin necesidad de ingreso hospitalario. Conclusiones. El diagnóstico citológico de la punción transtorácica guiada por TC es un método fiable y rentable para confirmar la malignidad de nódulos pulmonares superiores a 2cm, especialmente hospitales que no disponen de equipos de cirugía torácica(AU)
Aim. The purpose of this study is to demonstrate the validity of cytological diagnosis by CT-guided transthoracic needle aspiration (TTNA), especially in hospitals that lack more intrusive diagnostic procedures. Materials and methods. A retrospective study of 163 cases of TTNA with fine needle in patients with suspected lung cancer during the period 2000-2009. Results. One hundred and eighteen punctures were positive for malignant cells, 4 suspicious, 28 negative and 13 inadequate. Sensitivity: 90.76%; positive predictive value: 100%. Pneumothorax rate:10.42% (n=17), without hospital admission. Conclusions. The cytological diagnosis of CT-guided TTNA is a reliable and cost effective method to confirm malignancy of pulmonary nodules greater than 2cm, especially in hospitals without thoracic surgery teams(AU)
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Lung Neoplasms/diagnosis , Lung Neoplasms/pathology , Biopsy, Needle , Predictive Value of Tests , Cytological Techniques/trends , Cytological Techniques , Sensitivity and Specificity , Lung Neoplasms , Retrospective Studies , /methods , Echocardiography , Cytodiagnosis/instrumentation , Cytodiagnosis/methods , Multiple Pulmonary Nodules/diagnosis , Multiple Pulmonary Nodules/pathologyABSTRACT
Introducción: La publicación del Registro Internacional de Metástasis Pulmonares (IRLM, de International Registry of Lung Metastases) en 1997 supuso un punto de inflexión a favor de la cirugía de resección de metástasis pulmonares (MP). Se establecieron grupos pronósticos en función de la resecabilidad, el número de MP y el intervalo libre de enfermedad (ILE). El objetivo de este trabajo ha sido determinar la supervivencia de los pacientes intervenidos con resección de MP de carcinoma colorrectal y evaluar la aplicabilidad de los factores pronósticos establecidos por el IRLM a este grupo concreto de pacientes.Pacientes y métodos: Se ha realizado un trabajo retrospectivo recogiendo los casos de MP de carcinoma colorrectal intervenidos entre el 1 de enero de 2000 y el 30 de noviembre de 2006. Para calcular la supervivencia se empleó el método de Kaplan-Meier con el test de rangos logarítmicos.Resultados: La supervivencia a 1; 3; 5, y 6 años fue del 92, el 75, el 54 y el 43%, respectivamente. Como principal hallazgo, se observó que los pacientes a quienes se realizó resección atípica de las metástasis tuvieron mayor supervivencia que aquellos que necesitaron lobectomía: un 75% de supervivencia a los 3 años frente al 55%, respectivamente. No se encontraron diferencias significativas de supervivencia en cuanto al número de MP resecadas ni en cuanto al ILE.Conclusiones: Los pacientes que requieren lobectomía para la resección de MP de carcinoma colorrectal presentan peor supervivencia que aquellos a los que se realiza resección atípica. El número de metástasis y el ILE pueden ser factores pronósticos cuestionables en el caso de MP de carcinoma colorrectal(AU)
Introduction: The publication of the International Registry of Lung Metastases (IRLM) in 1997 was a turning point in favor of surgical resection of lung metastases. Prognostic groups were defined according to resectability, number of metastases, and disease-free interval. The objective of this study was to determine survival in patients who underwent resection of lung metastases from colorectal carcinoma and to evaluate how applicable the prognostic factors established by the IRLM are in this specific patient group.Patients and Methods: Patients with lung metastases from colorectal carcinoma who underwent resection between January 1, 2000, and November 30, 2006, were retrospectively analyzed. Survival was calculated using the Kaplan-Meier method, with log-rank comparisons between groups.Results: Survivals at 1, 3, 5, and 6 years was 92%, 75%, 54%, and 43%, respectively. The main finding was that 3-year survival was better in patients who underwent atypical resection of the metastasis (75%) than those who required lobectomy (55%). There were no significant differences in survival in terms of number of lung metastases resected or disease-free interval.Conclusions: Survival in patients requiring lobectomy for resection of lung metastases from colorectal carcinoma was worse than in those who underwent atypical resection. The number of metastases and disease-free interval may be questionable prognostic factors in the case of lung metastases from colorectal carcinoma(AU)
Subject(s)
Humans , Lung Neoplasms/surgery , Pneumonectomy , Colorectal Neoplasms/pathology , Neoplasm Metastasis/pathology , Lung Neoplasms/secondary , Survival Rate , Risk FactorsABSTRACT
INTRODUCTION: The publication of the International Registry of Lung Metastases (IRLM) in 1997 was a turning point in favor of surgical resection of lung metastases. Prognostic groups were defined according to resectability, number of metastases, and disease-free interval. The objective of this study was to determine survival in patients who underwent resection of lung metastases from colorectal carcinoma and to evaluate how applicable the prognostic factors established by the IRLM are in this specific patient group. PATIENTS AND METHODS: Patients with lung metastases from colorectal carcinoma who underwent resection between January 1, 2000, and November 30, 2006, were retrospectively analyzed. Survival was calculated using the Kaplan-Meier method, with log-rank comparisons between groups. RESULTS: Survivals at 1, 3, 5, and 6 years was 92%, 75%, 54%, and 43%, respectively. The main finding was that 3-year survival was better in patients who underwent atypical resection of the metastasis (75%) than those who required lobectomy (55%). There were no significant differences in survival in terms of number of lung metastases resected or disease-free interval. CONCLUSIONS: Survival in patients requiring lobectomy for resection of lung metastases from colorectal carcinoma was worse than in those who underwent atypical resection. The number of metastases and disease-free interval may be questionable prognostic factors in the case of lung metastases from colorectal carcinoma.
Subject(s)
Adenocarcinoma/secondary , Colorectal Neoplasms/mortality , Lung Neoplasms/secondary , Pneumonectomy , Adenocarcinoma/mortality , Adenocarcinoma/surgery , Adult , Aged , Aged, 80 and over , Disease-Free Survival , Female , Humans , Kaplan-Meier Estimate , Lung Neoplasms/mortality , Lung Neoplasms/surgery , Male , Middle Aged , Pneumonectomy/methods , Pneumonectomy/statistics & numerical data , Prognosis , Retrospective Studies , Risk FactorsABSTRACT
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Subject(s)
Humans , Bronchial Neoplasms/diagnosis , Carcinoid Tumor/diagnosis , Tomography, X-Ray Computed , Bronchial Neoplasms/surgery , Carcinoid Tumor/surgeryABSTRACT
La resección quirúrgica de la enfermedad metastásica pulmonar es un pilar principal en el tratamiento de lospacientes con esta patología. Numerosos estudios han demostrado alentadoras tasas de supervivencia asociadas a la metastasectomía, pero sigue habiendo controversias en temas como las vías de abordaje, la técnica quirúrgica o la indicación de resecciones mayores
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