Ressecção completa de hamartomas endobrônquicos por técnicas broncoscópicas, electrocirurgia por argon plasma e laser Nd-YAG
Complete resection of endobronchial hamartomas via bronchoscopic techniques, electrosurgery by Argon plasma and laser
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Responsável da Unidade de Pneumologia Oncológica" "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Assistente Graduado de Pneumologia. Responsável da Unidade de Broncologia" "etiqueta" => "<span class="elsevierStyleSup">4</span>" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Centro Hospitalar de Vila Nova de Gaia" "etiqueta" => "<span class="elsevierStyleSup">5</span>" "identificador" => "aff0025" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleBold">Correpondência / Correspondence to</span>: Diva de Fátima Gonçalves Ferreira Rua Conceição Fernandes 4434-502 Vila Nova de Gaia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Complete resection of endobronchial hamartomas via bronchoscopic techniques, electrosurgery by Argon plasma and laser" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2006-09-07" "fechaAceptado" => "2007-03-26" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec159241" "palabras" => array:4 [ 0 => "Hamartomas endobrônquicos" 1 => "broncoscopia" 2 => "electrocirurgia com <span class="elsevierStyleItalic">Argon</span> plasma" 3 => "<span class="elsevierStyleItalic">laser</span> Nd:YAG" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec159242" "palabras" => array:4 [ 0 => "Endobronchial hamartomas" 1 => "bronchoscopy" 2 => "electrosurgery with <span class="elsevierStyleItalic">Argon</span> plasma" 3 => "Nd:YAG laser" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Os hamartomas são lesões benignas, geralmente pulmonares, e frequentemente assintomáticos. Tipicamente, são achados acidentais através de estudos radiológicos do tórax. Cerca de 1,4 a 20% dos hamartomas têm localização endobrônquica e podem tornar-se sintomáticos por obstrução da via aérea. A ressecção cirúrgica tem sido o tratamento <span class="elsevierStyleItalic">standard</span> do hamartoma endobrônquico no entanto, tem-se observado uma experiência crescente no tratamento endoscópico sem registo de complicações. Nos casos seleccionados, a ressecção endoscópica tem eficácia terapêutica comparável à ressecção cirúrgica, poupando uma cirurgia.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Os autores apresentam dois casos de hamartomas alendobrônquicos, ambos diagnosticados e tratados definitivamente por técnicas broncoscópicas. Sintomas persistentes e alterações radiológicas torácicas determinaram o estudo por esta técnica. Foi efectuado tratamento endobrônquico através de electrocirurgia por <span class="elsevierStyleItalic">Argon</span> plasma (APC) e <span class="elsevierStyleItalic">laser</span> Nd:YAG, o que permitiu a resolução completa dos sintomas em ambos os doentes. A reavaliação endoscópica regular excluiu doença residual ou recidivante.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Hamartomas are benign neoplasms often located in lung and frequently asymptomatic. They are typically discovered incidentally with thorax radiographic studies. About 1.4–20% of hamartomas have endobronchial location and can be symptomatic due to airway obstruction.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Traditionally, surgical resection has been considered the standard of care for endobronchial hamartoma. However, there is increasing experience using endoscopic treatment and a paucity of reported complications. Endoscopic ressection has comparable therapeutic efficacy with surgical ressection but spares a <span class="elsevierStyleItalic">major</span> operation.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">We report two cases of endobronchial hamartomas, each diagnosed and definitively treated with bronchoscopic techniques. Persistent symptoms and abnormal radiological features were the impetus for initial diagnostic bronchoscopy. Endobronchial treatment was performed using electrosurgery by <span class="elsevierStyleItalic">Argon</span> plasma (APC) and Nd:YAG laser. This approach resulted in complete resolution of both patients’ symptoms. Follow-up bronchoscopic examinations excluded residual or recurrent disease</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Case report: a rare cause of hemoptysis – endobronchial hamartoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "S. Bulum" 1 => "T. Karagoz" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Eur Resp J" "fecha" => "2005" "volumen" => "26" "numero" => "Suppl 49" "paginaInicial" => "305s" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." 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ISSN: 21735115Original language: Portuguese
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