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Utilidad de la Cirugía Videotoracoscópica En el Diagnóstico de Los Nódulos Pulmonares Solitarios by M. Congregado Loscertales; J.C. Girón Arjona; R. Jiménez Merchán; A. Arroyo Tristán; C. Arenas Linares; J. Ayarra Jarne; J. Loscertales is a Medicine article available to read on EtoBox.
What is Utilidad de la Cirugía Videotoracoscópica En el Diagnóstico de Los Nódulos Pulmonares Solitarios about?
## Objectives: Various approaches are used for the diagnosis and treatment of solitary pulmonary nodules (spn) of unknown origin. new imaging techniques and nuclear medicine have provided more information about spn, but surgical removal is still the most sensitive and specific way to obtain a correct analysis of the lesion. with video-assisted thoracic surgery (vats), a histological diagnosis can be obtained without resorting to thoracotomy. in the present study we describe our experience with the diagnosis and treatment of spn using vats. ## Material and methods: From july 1992 through april 2001, 182 patients were operated on for spn in our department. ## Design: Retrospective study. mean age: 59.2 years (12-78). sex: 39 women and 143 men. localization: visual or instrumental exploration in 102 patients, with palpation in 52 cases and using a hookwire guided by preoperative computed tomography in 25 (with failure in 4 of those cases). tissue was biopsied during surgery and when the lesion was malignant, oncological excision was performed during the same operation. ## Results: A firm diagnosis was obtained by vats for 178 patients (98.3%). for three other patients the surgeon had
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It is typically read by researchers, students, and practitioners in Medicine.
- Author
- M. Congregado Loscertales; J.C. Girón Arjona; R. Jiménez Merchán; A. Arroyo Tristán; C. Arenas Linares; J. Ayarra Jarne; J. Loscertales
- Publisher
- Elsevier BV
- Published
- 2002
- Language
- ES
- Field
- Medicine (Health Sciences)