{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:01:12Z","timestamp":1753887672814,"version":"3.41.2"},"reference-count":19,"publisher":"FapUNIFESP (SciELO)","issue":"3","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>RESUMO  Objetivo: avaliar uma nova t\u00e9cnica operat\u00f3ria para o tratamento do enfisema pulmonar avan\u00e7ado.  M\u00e9todos: an\u00e1lise prospectiva de nove pacientes portadores de enfisema pulmonar grave, submetidos \u00e0 pneumostomia. O procedimento foi realizado sob anestesia local, na parede tor\u00e1cica anterior, linha hemiclavicular, no segundo espa\u00e7o intercostal, atrav\u00e9s de toracotomia anterior de 5cm para acesso ao lobo superior, cujo segmento anterior foi pin\u00e7ado e fixado \u00e0 pleura parietal. Realizada pneumotomia com eletrocaut\u00e9rio e inser\u00e7\u00e3o romba de dispositivo (dreno) intrapulmonar. Para avalia\u00e7\u00e3o do procedimento, foram realizados os seguintes exames: testes de fun\u00e7\u00e3o pulmonar, exames de imagens, teste da caminhada de seis minutos e question\u00e1rios de qualidade de vida, medidos todos no pr\u00e9-operat\u00f3rio e 30 dias ap\u00f3s o procedimento.  Resultados: n\u00e3o houve mortes relacionadas ao procedimento. Exames de imagens mostraram diminui\u00e7\u00e3o do volume pulmonar. A fun\u00e7\u00e3o pulmonar mostrou significante redu\u00e7\u00e3o do volume residual. O teste de caminhada de seis minutos mostrou um aumento na dist\u00e2ncia percorrida no p\u00f3s-operat\u00f3rio. Houve melhora significante da qualidade de vida, demonstrada por meio dos seguintes question\u00e1rios: Medical Outcomes Study 36 Item Short - Form Health Survey (SF-36), Saint-George Respiratory Questionnaire (SGRQ), Medical Research Council scale (MRC) e Eastern Cooperative Oncology Group Performance status (ECOG).  Conclus\u00e3o: a t\u00e9cnica proposta \u00e9 vi\u00e1vel, segura, de f\u00e1cil realiza\u00e7\u00e3o e manuten\u00e7\u00e3o.<\/jats:p>","DOI":"10.1590\/0100-6991e-20192231","type":"journal-article","created":{"date-parts":[[2019,8,3]],"date-time":"2019-08-03T19:32:04Z","timestamp":1564860724000},"source":"Crossref","is-referenced-by-count":0,"title":["Pneumostomia: uma proposta operat\u00f3ria para o tratamento do enfisema pulmonar difuso grave."],"prefix":"10.1590","volume":"46","author":[{"given":"Roberto","family":"Saad J\u00fanior","sequence":"first","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8499-031X","authenticated-orcid":false,"given":"J\u00falio Mott Ancona","family":"Lopez","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicente","family":"Dorgan Neto","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1rcio","family":"Botter","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge Henrique","family":"Rivaben","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Camila Bertini","family":"Martins","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2019]]},"reference":[{"key":"ref1","series-title":"Pneumologia cl\u00ednica e cir\u00fargica","first-page":"309","volume-title":"Doen\u00e7a pulmonar obstrutiva cr\u00f4nica","author":"Coimbra I","year":"2000"},{"key":"ref2","first-page":"703","article-title":"Effectiveness of bronchoscopic lung volume reduction using unilateral endobronchial valve: a systematic review and meta-analysis","volume":"10","author":"Choi M","year":"2015","journal-title":"Int J Chron Obstruct Pulmon Dis"},{"key":"ref3","series-title":"Pneumologia - guias de medicina ambulatorial e hospitalar. 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