[胸部瘤学中的肺动脉手术]
V D Parshin1,2,3, Yu V Belov4, R N Komarov4
1National Medical Research Center of Phthisiopulmonology and Infectious Diseases, Moscow, Russia.
肺动脉的手术切除和重建对于局部发达的胸部瘤是可行的. 在心肺绕道 (CPB) 下进行这些复杂的手术可以改善结果,并使瘤完全切除 (R0切除).
科学领域:
- 胸部瘤学 胸部瘤学
- 进行心血管外科手术.
- 手术瘤学手术瘤学
背景情况:
- 侵入肺动脉的局部发达瘤对手术提出了重大挑战.
- 改善这些复杂病例的结果需要先进的外科手术技术.
研究的目的:
- 为了评估手术治疗局部发达的瘤侵入肺动脉的可行性和结果.
- 确定心肺绕道 (CPB) 在成功切除中所扮演的角色.
主要方法:
- 在2005年至2021年间,对51名瘤侵入大胸内血管的患者进行了回顾性分析.
- 在32名 (62.4%) 患者中使用心脏外科技术和心肺旁路术 (CPB).
- 包括中 (74.5%) 和肺部 (25.4%) 的瘤.
主要成果:
- 在涉及切除大型胸内血管的联合手术中,术后并发症率为53.3%.
- 这些复杂的手术的死亡率为8.2%.
- 在接受CPB手术的患者中实现了R0切除.
结论:
- 在胸部瘤学中,肺动脉的切除和重建可用于原发性瘤和外部恶性瘤.
- 心肺旁路 (CPB) 对于在这些具有挑战性的病例中实现R0切除至关重要.
- 这些复杂的手术需要专门的胸部和心脏手术专业知识.
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