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[Extracorporeal Membrane Oxygenation in Thoracic Surgery: Establishing Functional and Technical Operability]
Ali Akil1, Servet Bölükbas2, Karsten Wiebe3
1Klinik für Thoraxchirurgie und Lungenunterstützung, Klinikum Ibbenbüren, Deutschland.
Zentralblatt Fur Chirurgie
|January 22, 2019
Summary
Evaluating functional and technical operability is crucial before thoracic surgery. Extracorporeal lung support can improve patient operability, ensuring safety during complex lung resections.
Area of Science:
- Cardiothoracic Surgery
- Respiratory Medicine
- Medical Technology
Background:
- Preoperative evaluation of functional and technical operability is essential for thoracic surgical procedures.
- Patients may be deemed inoperable due to existing functional or technical limitations.
- Extracorporeal lung support (ECLS) is a critical intervention in managing respiratory compromise.
Purpose of the Study:
- To define the role of extracorporeal lung support in establishing operability for thoracic surgery.
- To assess the impact of ECLS on perioperative safety in patients undergoing lung resection.
- To minimize risks associated with extended lung resections through enhanced respiratory support.
Main Methods:
- Utilizing extracorporeal lung support (e.g., ECMO) to bridge functional deficits.
- Comprehensive pre-operative assessment of patient's physiological status.
- Application of advanced surgical techniques for lung resection.
Main Results:
- Extracorporeal lung support successfully established functional and technical operability in previously inoperable candidates.
- Perioperative safety was significantly enhanced, reducing complications during surgery.
- The use of ECLS facilitated extended lung resections with minimized risk.
Conclusions:
- Extracorporeal lung support is a valuable tool for improving operability in thoracic surgery.
- ECLS enhances perioperative safety and enables complex lung resections.
- This approach expands the possibilities for surgical intervention in patients with compromised respiratory function.
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