Derivação pericardioperitoneal no tratamento de derrames pericárdicos em doentes neoplásicos
Pericardioperitoneal shunt in the treatment of pericardial effusions in neoplasic patients
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"afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Interno Complementar de Pneumologia" "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Assistente de Pneumologia" "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Assistente Graduado de Pneumologia – Serviço de Pneumologia do Centro Hospitalar de Coimbra. Director: Dr. Jorge Pires" "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Chefe de Serviço – Sector de Cirurgia Torácica do Centro Hospitalar de Coimbra. Director: Dr. Carlos Janelas" "etiqueta" => "<span class="elsevierStyleSup">4</span>" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor005" "etiqueta" => "⁎" "correspondencia" => "Correspondência/Correspondence to: Centro Hospitalar de Coimbra (CHC), Quinta dos Vales, S. Martinho do Bispo, 3041-801 Coimbra" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Pericardioperitoneal shunt in the treatment of pericardial effusions in neoplasic patients" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-09-22" "fechaAceptado" => "2006-10-20" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec158982" "palabras" => array:4 [ 0 => "Derrame pericárdico" 1 => "Neoplasia" 2 => "Derivação pericardioperitoneal" 3 => "Drenagem pericárdica" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec158981" "palabras" => array:4 [ 0 => "Pericardial effusion" 1 => "Neoplasia" 2 => "Pericardioperitoneal shunt" 3 => "Pericardial drainage" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Os derrames pericárdicos que surgem num contexto neoplásico são frequentes e apresentam dificuldades de diagnóstico e tratamento. Apesar de surgirem em doentes com neoplasia, 50% destes derrames têm uma etiologia benigna; surgem por mecanismos paralelos, indirectamente relacionados com o tumor. Os restantes (derrames pericárdicos neoplásicos – DPN) resultam do atingimento tumoral das estruturas peri ou epicárdicas e assumem, por si só, um pior prognóstico. As opções de tratamento disponíveis são várias, mas a ausência de normas orientadoras da sua aplicação tornam difícil avaliar perfis de rentabilidade, eficácia e segurança. A derivação pericardioperitoneal (DPP) é um método cirúrgico de drenagem da cavidade pericárdica que se tem demonstrado muito útil em DPN. No CHC, esta técnica é efectuada com o auxílio de toracoscopia videoassistida (VATS). Nos últimos 8 anos, foram submetidos a esta modalidade terapêutica 18 doentes com DPN. A técnica demonstrou ser segura, eficaz e com baixa morbilidade/mortalidade.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Neoplasia-related pericardial effusions are a frequent finding and pose diagnostic and therapeutic challenges. Although they appear in the context of an underlying neoplastic disease, 50% of these effusions have a benign etiology; they are indirectly caused by the tumor. The remaining cases (neoplastic pericardial effusions – NPE) derive from extension of tumoral disease to the epi and/or pericardium and have, therefore, a worst prognosis. Despite several treatment options, the lack of apropriate guidelines difficults the evaluation of their efficacy and safety. Pericardioperitoneal shunt (PPS) is a surgical pericardial drainage method, which has demonstrated its usefulness in the management of NPE. At the CHC, this procedure is performed under videoassisted toracoscopic guidance (VATS). During the last 8 years, 18 patients have been submitted to this therapeutic option, which proved to be safe, efficacious and with low morbimortality rates.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:18 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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ISSN: 21735115Original language: Portuguese
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