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SM ISO690:2012 GUŢAN, Oleg, BURLACU, Ion, TOMA, Alexandru, RUSU, Serghei, HABACH, Rafat, GLADUN, Nicolae. Diverticulii esofagieni intratoracici. Tratament videotoracoscopic. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 244. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | ||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | ||||||
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Rezumat | ||||||
Background. Esophageal intratoracic diverticula (EID) represent a rare pathology. The position of EID on the esophageal tract implies different surgical tactics. Thoracotomy has been the intervention of choice. Videothoracoscopy (VTS) has suggested positive results in the treatment of this pathology. Objective of the study. Analysis of the advantages of VTS in comparrison with the traditional surgical approach in the treatment of EID. Material and Methods. The study involved 27 patients aged between 45 and 65 years, diagnosed with EID, hospitalized in the Thoracic Surgery Ward of the Clinical Republican Hospital "Timofei Mosneaga" during the period 2000-2021. The mean diameter of the EID was 7 cm. The average duration of the onset of symptoms was 6 months. Results. This study shows the advantages of VTS compared to the traditional thoracotomy. The duration of the VTS procedure was 2h 30 min., compared to 3h for the thoracotomy. The average duration of hospitalization was 5 days for the VTS and 11 days for thoracotomy. The patients received surgical treatment: 12 patients underwent VTS (4 - midthoracic diverticula, 8 - epiphrenic diverticula) and 15 were treated through thoracotomy. Conclusion. The traditional method has been the mainstay of treatment in patients with EID, yet in the last few years the minimally invasive technique is used to a greater extent. A VTS approach for the management of EID is safe and effective when performed by surgeons experienced in VTS esophageal surgery. |
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Cuvinte-cheie esophageal diverticula, video-assisted thoracoscopy, VTS, diverticul esofagian intratoracic, videotoracoscopie, VTS |
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