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复杂的儿科瘤:先天性心胸外科手术的作用
Lindsay J Nitsche1, Colleen E Bontrager1, Paul J Devlin1
1Division of Cardiothoracic Surgery, Children's Hospital of Philadelphia, Philadelphia, Pa.
JTCVS techniques
|April 17, 2025
概括
心胸外科医生成功切除了侵入重要结构的复杂儿科胸部瘤. 这种专业知识确保了对具有挑战性的儿科固体瘤的安全和积极管理.
科学领域:
- 心胸外科手术 心胸外科手术
- 儿科瘤学 儿科瘤学
- 手术瘤学手术瘤学
背景情况:
- 儿科固体瘤可以呈现复杂的局部入侵,使手术管理复杂化.
- 血管系统,心周或隔膜的参与需要专门的胸部专业知识.
- 心脏外科医生在这些具有挑战性的病例中提供了积极的瘤切除的关键技能.
研究的目的:
- 介绍四个复杂的儿科固体瘤病例,需要进行心胸外科手术.
- 突出心胸外科医生在儿童局部侵入性胸部瘤管理中的作用.
- 为了证明在这些情况下,积极的手术切除的可行性和安全性.
主要方法:
- 对四名儿科外科患者进行描述性回顾性图表审查.
- 纳入标准:需要复杂的胸切除的局部侵入性固体瘤.
- 手术方法因瘤的位置和侵袭程度而异.
主要成果:
- 案例1:成功R0切除大突肉瘤侵入胸部血管和神经.
- 案例2:大纤维肉瘤的切割,主要胸部结构的移位,保存了重要的解剖结构.
- 案例3:在Fallote修复的四分法过程中,同步切除一个肺母细胞瘤.
- 案例4:切除从静脉延伸到心脏的威尔姆斯瘤.
- 所有患者都在手术室进行了输管,并进行了无事件的医院治疗 (5-10天的住院时间).
结论:
- 儿科胸部瘤可以是局部先进的和异质的.
- 心胸外科医生对胸部解剖学的熟悉确保了复杂瘤的安全切除.
- 与心胸外科手术的咨询对于管理具有挑战性的儿科胸部瘤切除是有价值的.
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