Secuestro pulmonar: Caracterización y tratamiento en pacientes adultos y pediátricos.
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| Title: | Secuestro pulmonar: Caracterización y tratamiento en pacientes adultos y pediátricos. |
|---|---|
| Alternate Title: | Pulmonary sequestration: Characteristics and treatment in adult and pediatric patients. |
| Authors: | González L., Roberto1,2 rgonzalezlagos@udec.cl, Riquelme U., Alejandra3, Arancibia Z., Hilda2,4, Reyes M., Rodrigo1,2, Spencer L., Loreto5, Alarcón O., Felipe6, Barra M., Sebastián6, Seguel S., Enrique1,2, Stockins L., Aleck1,2, Jadue T., Andrés1, Schaub C., Andrés6, Saldivia Z., Diego6, Alarcón C., Emilio1,2 |
| Source: | Revista de Cirugia. 2021, Vol. 73 Issue 3, p262-271. 10p. |
| Abstract (English): | Background: Pulmonary sequestration (PS) is a congenital malformation characterized by lung tissue with vascularization from anomalous systemic arteries. Aim: To analyze characteristics and treatment of adult and pediatric patients with pulmonary sequestration. Materials and Method: Transversal descriptive study. Period: January-1988 to December-2018. Information was obtained from clinical files and pathological anatomy records. Age, sex, clinical characteristics, diagnosis, surgical treatment and pathological findings are described. Statistical analysis was performed using SPSS25® and the Mann-Whitney and Chi square test were used, considering p < 0.05 to be significant. Results: Total 33 patients, 25 (75.8%) women. Average age 30.2 years, range: 0-68. Adults 23 (69.7%) patients and pediatric (< 15 years) 10 (30.3%) patients. The clinical presentation was pulmonary symptoms in 23 (69.7%) cases and 9 (27.3%) were asymptomatic. Three (9.1%) presented another congenital malformation. Preoperative diagnosis in 15 (48.4%) patients. The most frequent location was the left lower lobe. The intralobar type was the most frequent: 23 (69.7%) cases. The most frequent surgery was lobectomy with identification and ligation of the systemic vessel. The systemic vessel originated in the thoracic aorta in 27 (81.8%) cases and infradiaphragmatic (not specified) in 3 (9.1%) cases. Single vessel in 26 (78.8%) and double in 5 (15.2%) cases. There was no mortality. Differences were found in characteristics between adult and pediatric patients. Conclusion: SP are infrequent, they mostly appear in young adults as recurrent lung diseases, differences in characteristics are distinguished between adult and pediatric patients and they have an excellent postoperative prognosis. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: El secuestro pulmonar (SP) es una malformación congénita caracterizada por tejido pulmonar con vascularización de una arteria sistémica anómala. Objetivo: Analizar las características y tratamiento de pacientes adultos y pediátricos con secuestro pulmonar. Materiales y Método: Estudio descriptivo transversal. Periodo: enero de 1988 a diciembre de 2018. La información se obtuvo de fichas clínicas y registros de anatomía patológica. Se describen edad, sexo, características clínicas, diagnóstico, tratamiento quirúrgico y hallazgos anatomopatológicos. Se realizó análisis estadístico mediante SPSS25® y se usó la prueba Mann-Whitney y c2, considerándose significativo p < 0,05. Resultados: Total 33 pacientes, 25 (75,8%) mujeres. Edad promedio 30,2 años, rango: 0-68. Adultos 23 (69,7%) pacientes y pediátricos (< 15 años) 10 (30,3%) pacientes. La presentación clínica fue sintomatología pulmonar en 23 (69,7%) casos y 9 (27,3%) eran asintomáticos. Tres (9,1%) presentaron malformación congénita asociada. Diagnóstico preoperatorio en 15 (45,5%) pacientes. La ubicación más frecuente fue lóbulo inferior izquierdo. El tipo intralobar fue el más frecuente en 23 (69,7%) casos. La cirugía más frecuente fue la lobectomía con identificación y ligadura del vaso sistémico. El vaso aberrante se originó en aorta torácica en 27 (81,8%) casos e infradiafragmático (no precisado) en 3 (9,1%) casos. Vaso único en 26 (78,8%) y doble en 5 (15,2%) casos. No hubo mortalidad. Existen diferencias en las características entre los secuestros en pacientes adultos y pediátricos. Discusión y Conclusión: Los SP son infrecuentes, se presentan principalmente en adultos jóvenes como neumopatías a repetición, se distinguen diferencias en las características entre los pacientes adultos y pediátricos, y tienen excelente pronóstico posoperatorio. [ABSTRACT FROM AUTHOR] |
| Copyright of Revista de Cirugia is the property of Sociedad de Cirujanos de Chile and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
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| Items | – Name: Title Label: Title Group: Ti Data: Secuestro pulmonar: Caracterización y tratamiento en pacientes adultos y pediátricos. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Pulmonary sequestration: Characteristics and treatment in adult and pediatric patients. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22González+L%2E%2C+Roberto%22">González L., Roberto</searchLink><relatesTo>1,2</relatesTo><i> rgonzalezlagos@udec.cl</i><br /><searchLink fieldCode="AR" term="%22Riquelme+U%2E%2C+Alejandra%22">Riquelme U., Alejandra</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Arancibia+Z%2E%2C+Hilda%22">Arancibia Z., Hilda</searchLink><relatesTo>2,4</relatesTo><br /><searchLink fieldCode="AR" term="%22Reyes+M%2E%2C+Rodrigo%22">Reyes M., Rodrigo</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Spencer+L%2E%2C+Loreto%22">Spencer L., Loreto</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Alarcón+O%2E%2C+Felipe%22">Alarcón O., Felipe</searchLink><relatesTo>6</relatesTo><br /><searchLink fieldCode="AR" term="%22Barra+M%2E%2C+Sebastián%22">Barra M., Sebastián</searchLink><relatesTo>6</relatesTo><br /><searchLink fieldCode="AR" term="%22Seguel+S%2E%2C+Enrique%22">Seguel S., Enrique</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Stockins+L%2E%2C+Aleck%22">Stockins L., Aleck</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Jadue+T%2E%2C+Andrés%22">Jadue T., Andrés</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Schaub+C%2E%2C+Andrés%22">Schaub C., Andrés</searchLink><relatesTo>6</relatesTo><br /><searchLink fieldCode="AR" term="%22Saldivia+Z%2E%2C+Diego%22">Saldivia Z., Diego</searchLink><relatesTo>6</relatesTo><br /><searchLink fieldCode="AR" term="%22Alarcón+C%2E%2C+Emilio%22">Alarcón C., Emilio</searchLink><relatesTo>1,2</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Revista+de+Cirugia%22">Revista de Cirugia</searchLink>. 2021, Vol. 73 Issue 3, p262-271. 10p. – Name: Abstract Label: Abstract (English) Group: Ab Data: Background: Pulmonary sequestration (PS) is a congenital malformation characterized by lung tissue with vascularization from anomalous systemic arteries. Aim: To analyze characteristics and treatment of adult and pediatric patients with pulmonary sequestration. Materials and Method: Transversal descriptive study. Period: January-1988 to December-2018. Information was obtained from clinical files and pathological anatomy records. Age, sex, clinical characteristics, diagnosis, surgical treatment and pathological findings are described. Statistical analysis was performed using SPSS25® and the Mann-Whitney and Chi square test were used, considering p < 0.05 to be significant. Results: Total 33 patients, 25 (75.8%) women. Average age 30.2 years, range: 0-68. Adults 23 (69.7%) patients and pediatric (< 15 years) 10 (30.3%) patients. The clinical presentation was pulmonary symptoms in 23 (69.7%) cases and 9 (27.3%) were asymptomatic. Three (9.1%) presented another congenital malformation. Preoperative diagnosis in 15 (48.4%) patients. The most frequent location was the left lower lobe. The intralobar type was the most frequent: 23 (69.7%) cases. The most frequent surgery was lobectomy with identification and ligation of the systemic vessel. The systemic vessel originated in the thoracic aorta in 27 (81.8%) cases and infradiaphragmatic (not specified) in 3 (9.1%) cases. Single vessel in 26 (78.8%) and double in 5 (15.2%) cases. There was no mortality. Differences were found in characteristics between adult and pediatric patients. Conclusion: SP are infrequent, they mostly appear in young adults as recurrent lung diseases, differences in characteristics are distinguished between adult and pediatric patients and they have an excellent postoperative prognosis. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introducción: El secuestro pulmonar (SP) es una malformación congénita caracterizada por tejido pulmonar con vascularización de una arteria sistémica anómala. Objetivo: Analizar las características y tratamiento de pacientes adultos y pediátricos con secuestro pulmonar. Materiales y Método: Estudio descriptivo transversal. Periodo: enero de 1988 a diciembre de 2018. La información se obtuvo de fichas clínicas y registros de anatomía patológica. Se describen edad, sexo, características clínicas, diagnóstico, tratamiento quirúrgico y hallazgos anatomopatológicos. Se realizó análisis estadístico mediante SPSS25® y se usó la prueba Mann-Whitney y c2, considerándose significativo p < 0,05. Resultados: Total 33 pacientes, 25 (75,8%) mujeres. Edad promedio 30,2 años, rango: 0-68. Adultos 23 (69,7%) pacientes y pediátricos (< 15 años) 10 (30,3%) pacientes. La presentación clínica fue sintomatología pulmonar en 23 (69,7%) casos y 9 (27,3%) eran asintomáticos. Tres (9,1%) presentaron malformación congénita asociada. Diagnóstico preoperatorio en 15 (45,5%) pacientes. La ubicación más frecuente fue lóbulo inferior izquierdo. El tipo intralobar fue el más frecuente en 23 (69,7%) casos. La cirugía más frecuente fue la lobectomía con identificación y ligadura del vaso sistémico. El vaso aberrante se originó en aorta torácica en 27 (81,8%) casos e infradiafragmático (no precisado) en 3 (9,1%) casos. Vaso único en 26 (78,8%) y doble en 5 (15,2%) casos. No hubo mortalidad. Existen diferencias en las características entre los secuestros en pacientes adultos y pediátricos. Discusión y Conclusión: Los SP son infrecuentes, se presentan principalmente en adultos jóvenes como neumopatías a repetición, se distinguen diferencias en las características entre los pacientes adultos y pediátricos, y tienen excelente pronóstico posoperatorio. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Revista de Cirugia is the property of Sociedad de Cirujanos de Chile and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.35687/s2452-45492021003831 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 10 StartPage: 262 Titles: – TitleFull: Secuestro pulmonar: Caracterización y tratamiento en pacientes adultos y pediátricos. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: González L., Roberto – PersonEntity: Name: NameFull: Riquelme U., Alejandra – PersonEntity: Name: NameFull: Arancibia Z., Hilda – PersonEntity: Name: NameFull: Reyes M., Rodrigo – PersonEntity: Name: NameFull: Spencer L., Loreto – PersonEntity: Name: NameFull: Alarcón O., Felipe – PersonEntity: Name: NameFull: Barra M., Sebastián – PersonEntity: Name: NameFull: Seguel S., Enrique – PersonEntity: Name: NameFull: Stockins L., Aleck – PersonEntity: Name: NameFull: Jadue T., Andrés – PersonEntity: Name: NameFull: Schaub C., Andrés – PersonEntity: Name: NameFull: Saldivia Z., Diego – PersonEntity: Name: NameFull: Alarcón C., Emilio IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 05 Text: 2021 Type: published Y: 2021 Identifiers: – Type: issn-print Value: 24524557 Numbering: – Type: volume Value: 73 – Type: issue Value: 3 Titles: – TitleFull: Revista de Cirugia Type: main |
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