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Artigo de Revisão / Revision Article
Derivação pericardioperitoneal no tratamento de derrames pericárdicos em doentes neoplásicos
Pericardioperitoneal shunt in the treatment of pericardial effusions in neoplasic patients
Nuno Cortesão1,*, Ana Figueiredo2, Fernando Barata3, António Correia de Matos4, Carlos Janelas4
1 Interno Complementar de Pneumologia
2 Assistente de Pneumologia
3 Assistente Graduado de Pneumologia – Serviço de Pneumologia do Centro Hospitalar de Coimbra. Director: Dr. Jorge Pires.
4 Chefe de Serviço – Sector de Cirurgia Torácica do Centro Hospitalar de Coimbra. Director: Dr. Carlos Janelas.
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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">Os derrames peric&#225;rdicos que surgem num contexto neopl&#225;sico s&#227;o frequentes e apresentam dificuldades de diagn&#243;stico e tratamento&#46; Apesar de surgirem em doentes com neoplasia&#44; 50&#37; destes derrames t&#234;m uma etiologia benigna&#59; surgem por mecanismos paralelos&#44; indirectamente relacionados com o tumor&#46; Os restantes &#40;derrames peric&#225;rdicos neopl&#225;sicos &#8211; DPN&#41; resultam do atingimento tumoral das estruturas peri ou epic&#225;rdicas e assumem&#44; por si s&#243;&#44; um pior progn&#243;stico&#46; As op&#231;&#245;es de tratamento dispon&#237;veis s&#227;o v&#225;rias&#44; mas a aus&#234;ncia de normas orientadoras da sua aplica&#231;&#227;o tornam dif&#237;cil avaliar perfis de rentabilidade&#44; efic&#225;cia e seguran&#231;a&#46; A deriva&#231;&#227;o pericardioperitoneal &#40;DPP&#41; &#233; um m&#233;todo cir&#250;rgico de drenagem da cavidade peric&#225;rdica que se tem demonstrado muito &#250;til em DPN&#46; No CHC&#44; esta t&#233;cnica &#233; efectuada com o aux&#237;lio de toracoscopia videoassistida &#40;VATS&#41;&#46; Nos &#250;ltimos 8 anos&#44; foram submetidos a esta modalidade terap&#234;utica 18 doentes com DPN&#46; A t&#233;cnica demonstrou ser segura&#44; eficaz e com baixa morbilidade&#47;mortalidade&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007&#59; XIII &#40;1&#41;&#58; 71-81</span></p></span>"
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        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Neoplasia-related pericardial effusions are a frequent finding and pose diagnostic and therapeutic challenges&#46; Although they appear in the context of an underlying neoplastic disease&#44; 50&#37; of these effusions have a benign etiology&#59; they are indirectly caused by the tumor&#46; The remaining cases &#40;neoplastic pericardial effusions &#8211; NPE&#41; derive from extension of tumoral disease to the epi and&#47;or pericardium and have&#44; therefore&#44; a worst prognosis&#46; Despite several treatment options&#44; the lack of apropriate guidelines difficults the evaluation of their efficacy and safety&#46; Pericardioperitoneal shunt &#40;PPS&#41; is a surgical pericardial drainage method&#44; which has demonstrated its use fulness in the management of NPE&#46; At the CHC&#44; this procedure is performed under videoassisted toracoscopic guidance &#40;VATS&#41;&#46; During the last 8 years&#44; 18 patients have been submitted to this therapeutic option&#44; which proved to be safe&#44; efficacious and with low morbimortality rates&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007&#59; XIII &#40;1&#41;&#58; 71-81</span></p></span>"
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Article information
ISSN: 08732159
Original language: Portuguese
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