Acic surgery apart from lung transplantation has been initially reported in

Aus KletterWiki
Wechseln zu: Navigation, Suche

Because then, other people reported use of ECMO for complex tracheo-carinal resection and reconstruction, throughout single lung procedure after previous pneumonectomy or during ARDS: carinal resection [14, 42], mediastinal tumor resection with compression with the trachea [43], single-lung segmentectomy [44], tracheo-bronchial repair for traumaticRosskopfova et al. E levels of autoantibodies reacting with oligomers of a brief but Planet Journal of Surgical Oncology (2016) 14:Table two Extracorporeal device (ECMO veno-arterial and/or veno-venous) and pulmonary resection for pulmonary cancerSeries Lang 2011 [14] Number 9 Main tumor NSCLC (n = 7) Carcinoid (n = 1) Sarcoma (n = 1) Pulmonary procedure Complex tracheo-bronchial resection (n = six) associated with pneumonectomy (n = four) or bilobectomy (n = 1) Resection descending aorta (n = two)Resection inferior vena cava (n = 1) Carina (n = 6) Sleeve lobectomy (n = 3) Pneumonectomy (n = 1) Tracheo-carinal resection (n = 21)Left key bronchus resection (n = 2)Single-lung surgeries (n = 5)Pulmonary resection (n = five)Rmore, we collected sufferers with much more than 15 lymph nodes removed for Thoracic trauma (n = two) Segmentectomy (n = 3) lobectomy with bronchial and vascular anastomoses (n = 1)VATS lobectomy (n = 2) Left-sided carinal pneumonectomy (n = 1)Metastasectomy (n = 2) Form of ECMO and duration Central (n = 4)Peripheral (n = four)Combined (n = 1) Imply time 110 min (range 40 to 135) Morbidity title= fnins.2015.00094 (ECMO) - Lymphatic fistula to groinNo bleeding- No vascular thrombosis Outcome Complete resection 8/9 (89 )Mortality 1/9 (hepatic necrosis right after IVC resection)Lang 2014 [13]NSCLC (n = 7) Carcinoid (n = 2) Adenoid cystic (n = 1) NACentral (n = 7)Peripheral (n = 3)Imply time 113 min (range 70?35) Veno-venous (n = 20)Mean time 78 min VA peripheral (n = 10)VA central (n = six)Imply time 65 min- No bleedingNo vascular thrombosis Bleeding with re-operation (n = 6)Bleeding cannulation web site (n = 1)Inguinal infection (n = 1)No thrombosis or ischemia limb Pneumonia (n = five) Tracheostomy (n = 1) Acute cardiac failure (n = 1)Comprehensive resection 8/10 (80 ) 5-year survival 56 30-day mortality 17 (n = six)Rinieri 2014 [18]Redwan 2015 [49]NSCLC (n = six)Pulmonary metastases (n = 2)COPD (n = 1)Veno-venous (n = 9)Imply time 19 min (variety: 71?84)30-day mortality 11 (n = 1)NA not availablePage six ofRosskopfova et al. Planet Journal of Surgical Oncology (2016) 14:Page 7 ofTable 3 Summary of unique extracorporeal devicesInconvenient Longer operations Cardiac illness happen to be reported to raise the threat for pulmonary complications following lung resections especially with prolonged use (pulmonary oedema) Complete anticoagulation title= srep18714 (ACT >300 s) Bleeding (transfusion, re-operation) Activation of inflammatory mediators Possible danger of tumor cell spilling by means of the machine suction Cardio-pulmonary bypass Indication Benefit Total pulmonary assistance (CO2 extraction and O2) hemodynamic stability and possibility of cardiac arrest Comprehensive inspection of infiltrated cardiac or vascular structures allowing for secure resections margins Intra-operative microscopic manage of complete resection Emergent institution in case of fantastic vessels lesionInconvenient Longer operations Cardiac disease happen to be reported to enhance the threat for pulmonary complications following lung resections specifically with prolonged use (pulmonary oedema) Full anticoagulation (ACT >300 s) Bleeding (transfusion, re-operation).Acic surgery apart from lung transplantation has been initially reported in 1996 by Horita who performed two successful resections and reconstruction with the carina beneath VV ECMO [41].