Estadísticas

 array:18 [
  "pii" => "6765"
  "issn" => "0009739X"
  "estado" => "S300"
  "fechaPublicacion" => "1999-01-01"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Cir Esp. 1999;65:21-3"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 1306
    "formatos" => array:3 [
      "EPUB" => 8
      "HTML" => 1201
      "PDF" => 97
    ]
  ]
  "itemSiguiente" => array:15 [
    "pii" => "6766"
    "issn" => "0009739X"
    "estado" => "S300"
    "fechaPublicacion" => "1999-01-01"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Cir Esp. 1999;65:24-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2490
      "formatos" => array:3 [
        "EPUB" => 9
        "HTML" => 2342
        "PDF" => 139
      ]
    ]
    "es" => array:8 [
      "idiomaDefecto" => true
      "titulo" => "Profilaxis antibiótica en la cirugía de la hernia inguinal"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "24"
          "paginaFinal" => "27"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "ANTIBIOTIC PROPHYLAxiS IN INGUINAL HERNIA REPAIR"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A Escartín, MM Pellicer, M Elía, A Jiménez, MD Arribas, E Lagunas, M Martínez"
          "autores" => array:7 [
            0 => array:2 [
              "Iniciales" => "A"
              "apellidos" => "Escartín"
            ]
            1 => array:2 [
              "Iniciales" => "MM"
              "apellidos" => "Pellicer"
            ]
            2 => array:2 [
              "Iniciales" => "M"
              "apellidos" => "Elía"
            ]
            3 => array:2 [
              "Iniciales" => "A"
              "apellidos" => "Jiménez"
            ]
            4 => array:2 [
              "Iniciales" => "MD"
              "apellidos" => "Arribas"
            ]
            5 => array:2 [
              "Iniciales" => "E"
              "apellidos" => "Lagunas"
            ]
            6 => array:2 [
              "Iniciales" => "M"
              "apellidos" => "Martínez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/6766?idApp=UINPBA00004N"
    "url" => "/0009739X/0000006500000001/v0_201402051829/6766/v0_201402051829/es/main.assets"
  ]
  "itemAnterior" => array:15 [
    "pii" => "6764"
    "issn" => "0009739X"
    "estado" => "S300"
    "fechaPublicacion" => "1999-01-01"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Cir Esp. 1999;65:16-20"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1209
      "formatos" => array:3 [
        "EPUB" => 8
        "HTML" => 1096
        "PDF" => 105
      ]
    ]
    "es" => array:8 [
      "idiomaDefecto" => true
      "titulo" => "Cirugía abdominal de urgencia en el anciano. Experiencia de una década en un hospital comarcal"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "16"
          "paginaFinal" => "20"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "EMERGENCY ABDOMINAL SURGERY IN ELDERLY PATIENTS. TEN YEARS OF EXPERIENCE IN A COUNTY HOSPITAL"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "FJ Ortiz de Solórzano Aurusa, C Yarritu Villanueva, L Obelar Bernal, C Díaz Tomás, E Fraile Jiménez, E Montes Beneítez, E Ereño Bilbao"
          "autores" => array:7 [
            0 => array:2 [
              "Iniciales" => "FJ"
              "apellidos" => "Ortiz de Solórzano Aurusa"
            ]
            1 => array:2 [
              "Iniciales" => "C"
              "apellidos" => "Yarritu Villanueva"
            ]
            2 => array:2 [
              "Iniciales" => "L"
              "apellidos" => "Obelar Bernal"
            ]
            3 => array:2 [
              "Iniciales" => "C"
              "apellidos" => "Díaz Tomás"
            ]
            4 => array:2 [
              "Iniciales" => "E"
              "apellidos" => "Fraile Jiménez"
            ]
            5 => array:2 [
              "Iniciales" => "E"
              "apellidos" => "Montes Beneítez"
            ]
            6 => array:2 [
              "Iniciales" => "E"
              "apellidos" => "Ereño Bilbao"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/6764?idApp=UINPBA00004N"
    "url" => "/0009739X/0000006500000001/v0_201402051829/6764/v0_201402051829/es/main.assets"
  ]
  "es" => array:10 [
    "idiomaDefecto" => true
    "titulo" => "¿Está contraindicada la cirugía laparoscópica en pacientes ancianos de riesgo elevado?"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "21"
        "paginaFinal" => "23"
      ]
    ]
    "autores" => array:1 [
      0 => array:2 [
        "autoresLista" => "E Boldó, V Artigas, A Romero, P Casan, RM Miralda, M Ferrándiz, H Litvan, J Sanchis"
        "autores" => array:8 [
          0 => array:2 [
            "Iniciales" => "E"
            "apellidos" => "Boldó"
          ]
          1 => array:2 [
            "Iniciales" => "V"
            "apellidos" => "Artigas"
          ]
          2 => array:2 [
            "Iniciales" => "A"
            "apellidos" => "Romero"
          ]
          3 => array:2 [
            "Iniciales" => "P"
            "apellidos" => "Casan"
          ]
          4 => array:2 [
            "Iniciales" => "RM"
            "apellidos" => "Miralda"
          ]
          5 => array:2 [
            "Iniciales" => "M"
            "apellidos" => "Ferrándiz"
          ]
          6 => array:2 [
            "Iniciales" => "H"
            "apellidos" => "Litvan"
          ]
          7 => array:2 [
            "Iniciales" => "J"
            "apellidos" => "Sanchis"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "IS LAPAROSCOPIC SURGERY CONTRAINDICATED IN HIGH-RISK ELDERLY PATIENTS?"
      ]
    ]
    "tienePdf" => false
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec293636"
          "palabras" => array:4 [
            0 => "Cirugía laparoscópica"
            1 => "Función pulmonar"
            2 => "Neumoperitoneo"
            3 => "Pacientes ancianos"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec293637"
          "palabras" => array:4 [
            0 => "Laparoscopic surgery"
            1 => "Pulmonary function"
            2 => "Pneumoperitoneum"
            3 => "Elderly patients"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:1 [
        "resumen" => "<span class="elsevierStyleBold">Introducci&#243;n&#46;</span> El objetivo de nuestro trabajo fue estudiar si las repercusiones de la cirug&#237;a laparosc&#243;pica en la funci&#243;n pulmonar intra y postoperatoria contraindicar&#237;an este abordaje en el grupo de pacientes ancianos con enfermedades sist&#233;micas asociadas&#46; <br/> <span class="elsevierStyleBold">Pacientes y m&#233;todos&#46;</span> Se estudiaron de manera prospectiva a 16 pacientes &#40;10 mujeres y 6 varones&#41; consecutivos con una media de edad de 73 a&#241;os &#40;rango&#44; 65-82 a&#241;os&#41;&#46; Siete de ellos fueron clasificados como ASA II y nueve ASA III&#46; Durante la cirug&#237;a laparosc&#243;pica y en el postoperatorio inmediato se determin&#243; la saturaci&#243;n de ox&#237;geno&#44; la EtCO2 y fueron practicadas gasometr&#237;as arteriales seriadas&#46; El d&#237;a previo a la cirug&#237;a y durante el segundo d&#237;a del postoperatorio se practicaron pruebas de funci&#243;n respiratoria&#46; Se realiz&#243; un seguimiento especial para detectar las complicaciones cardiorrespiratorias postoperatorias&#46; <br/> <span class="elsevierStyleBold">Resultados&#46;</span> En ning&#250;n caso se registraron hipercarbia o acidosis intraoperatorias extremas&#46; Las diferencias postoperatorias fueron estad&#237;sticamente significativas en la mayor&#237;a de par&#225;metros&#44; con descensos en torno al 10&#37; en la espirometr&#237;a&#44; de hasta el 3&#37; en los vol&#250;menes pulmonares est&#225;ticos&#44; del 13&#37; en el intercambio de CO&#44; de aproximadamente un 20&#37; en las presiones m&#225;ximas y de un 11&#37; en la ventilaci&#243;n voluntaria m&#225;xima &#40;VVM&#41;&#46; No se registraron complicaciones cardiorrespiratorias postoperatorias&#46; <br/> <span class="elsevierStyleBold">Conclusiones&#46;</span> En nuestra experiencia&#44; las consecuencias respiratorias de la cirug&#237;a laparosc&#243;pica en pacientes ancianos con enfermedades asociadas es una moderada disfunci&#243;n que no contraindicar&#237;a este abordaje en dicho grupo de pacientes"
      ]
      "en" => array:1 [
        "resumen" => "<span class="elsevierStyleBold">Introduction&#46;</span> The objective of the present report was to study whether the impact of laparoscopic surgery on intraoperative and postoperative lung function would constitute a contraindication for this approach in elderly patients with associated systemic diseases&#46; <br/> <br/> <span class="elsevierStyleBold">Patients and methods&#46;</span> A prospective study was carried out in 16 consecutive patients &#40;10 women and 6 men&#41; with a mean age of 73 years &#40;range&#58; 65 to 82 years&#41;&#46; Seven patients were considered ASA class II and 9 were ASA class III&#46; During laparoscopic surgery and the immediate postoperative period&#44; the oxygen saturation and ETCO2 were measured and arterial blood gases were serially monitored&#46; Respiratory function was assessed on the day before surgery and on the second postoperative day&#46; The follow-up protocol was designed to detect postoperative cardiorespiratory complications&#46; <br/> <br/> <span class="elsevierStyleBold">Results&#46;</span> There were no cases of extreme intraoperative hypercarbia or acidosis&#46; The majority of the postoperative findings were significantly different from preoperative values&#44; with decreases of around 10&#37; in spirometric parameters&#44; of up to 3&#37; in static lung volumes&#44; of 13&#37; in CO exchange&#44; of approximately 20&#37; in maximum pressures and 11&#37; in maximum voluntary ventilation&#46; No postoperative cardiorespiratory complications were recorded&#46; <br/> <br/> <span class="elsevierStyleBold">Conclusions&#46;</span> In our experience&#44; the respiratory consequences of laparoscopic surgery in elderly patients with associated diseases are limited to a moderate dysfunction which would not constitute a contraindication for this approach in said group of patients"
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/0009739X/0000006500000001/v0_201402051829/6765/v0_201402051829/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "15024"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Originales"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/6765?idApp=UINPBA00004N"
]