About: Temporary aorto-aortal tube by-pass during extended pneumonectomy for lung cancer.     Goto   Sponge   NotDistinct   Permalink

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Description
  • Resekce plíce je jedinou kurativní možností pro nemocné s plicní malignitou. Předpokladem úspěšnosti léčby je kompletní odstranění nádoru a nepřítomnost nádorových metastáz. Plicní nádory často při svém růstu zasahují do okolních struktur. Radikální operace zahrnuje plicní resekci a odstranění zasažených okolních struktur (hrudní stěna, bránice, perikard, velké cévy) za předpokladu vhodného lokálního nálezu. Nádory levostranného plicního hilu mohou zasahovat do oblasti aortálního oblouku či descendentní aorty. Resekce a náhrada aorty v této indikaci je poměrně výjimečným , ale za určitých okolností proveditelným výkonem. Hlavním rizikem výkonu na descendentní aortě je míšní ischémie při naložení svorky na aortu. Elektivně se proto tyto raritní výkony provádějí většinou v mimotělním oběhu. Pokud je však nutnost resekovat aortu potvrzena až peroperačně, jsou možnosti použití extrakorporální cirkulace limitovány. Autoři referují případ, kdy byla při levostranné pneumonektomii pro centrální formu plic (cs)
  • Involvement of the aortic arch, or the descending aorta, is not uncommon in left-sided lung tumours. The direct invasion of the aortic wall is generally considered a contraindication in lung resection. However, there are a limited number of reports of full thickness resections of the aorta during lung cancer surgery. They may be accomplished as a partial resection using a patch, or as a local tubular resection with reconstruction by a graft. In order to prevent ischaemia of the spinal cord, a cardiopulmonary bypass is usually recommended. The authors present a case report of a full thickness tubular resection of the descending aorta during pneumonectomy for centrally located lung carcinoma. The direct invasion to the descending aorta was only confirmed intraoperatively. After tumour dissection, two aortal cannulas were inserted into the aorta: the first one into the aortic arch over the left subclavian artery, the other one into the descending aorta over the diaphragm. They were then bypassed without
  • Involvement of the aortic arch, or the descending aorta, is not uncommon in left-sided lung tumours. The direct invasion of the aortic wall is generally considered a contraindication in lung resection. However, there are a limited number of reports of full thickness resections of the aorta during lung cancer surgery. They may be accomplished as a partial resection using a patch, or as a local tubular resection with reconstruction by a graft. In order to prevent ischaemia of the spinal cord, a cardiopulmonary bypass is usually recommended. The authors present a case report of a full thickness tubular resection of the descending aorta during pneumonectomy for centrally located lung carcinoma. The direct invasion to the descending aorta was only confirmed intraoperatively. After tumour dissection, two aortal cannulas were inserted into the aorta: the first one into the aortic arch over the left subclavian artery, the other one into the descending aorta over the diaphragm. They were then bypassed without (en)
Title
  • Temporary aorto-aortal tube by-pass during extended pneumonectomy for lung cancer.
  • Temporary aorto-aortal tube by-pass during extended pneumonectomy for lung cancer. (en)
  • Přechodný aorto-aortální by-pass během rozšířené pneumonektomie pro rakovinu plic. (cs)
skos:prefLabel
  • Temporary aorto-aortal tube by-pass during extended pneumonectomy for lung cancer.
  • Temporary aorto-aortal tube by-pass during extended pneumonectomy for lung cancer. (en)
  • Přechodný aorto-aortální by-pass během rozšířené pneumonektomie pro rakovinu plic. (cs)
skos:notation
  • RIV/61989592:15110/07:00004006!RIV08-MZ0-15110___
http://linked.open.../vavai/riv/strany
  • 81-83
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • P(NR7772)
http://linked.open...iv/cisloPeriodika
  • 1
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 454525
http://linked.open...ai/riv/idVysledku
  • RIV/61989592:15110/07:00004006
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • pulmectomy (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • BE - Belgické království
http://linked.open...ontrolniKodProRIV
  • [F57070607556]
http://linked.open...i/riv/nazevZdroje
  • Acta chirurgica Belgica
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...vavai/riv/projekt
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 107
http://linked.open...iv/tvurceVysledku
  • Bohanes, Tomáš
  • Král, Vladimír
  • Němec, Petr
  • Klein, Jiří
issn
  • 0001-5458
number of pages
http://localhost/t...ganizacniJednotka
  • 15110
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