Chirurgia traheo-bronheală &ndash; experienţa clinicii chirurgie fecmf, USFf &bdquo;Nicolae Testemiţanu&rdquo;

Gladun Nicolae; Balica Ion; Iusco Teofil; Maxim Igor; Rusu Serghei; Toma Alexandru

Conţinutul numărului revistei

Articolul precedent

Articolul urmator

294

Ultima descărcare din IBN:
2023-06-22 18:18

SM ISO690:2012

GLADUN, Nicolae, BALICA, Ion, IUSCO, Teofil, MAXIM, Igor, RUSU, Serghei, TOMA, Alexandru. Chirurgia traheo-bronheală – experienţa clinicii chirurgie fecmf, USFf „Nicolae Testemiţanu”. In: Arta Medica , 2015, nr. 3(56), pp. 44-45. ISSN 1810-1852.

EXPORT metadate:
Google Scholar
Crossref
CERIF

DataCite
Dublin Core

Arta Medica

Numărul 3(56) / 2015 / ISSN 1810-1852 /ISSNe 1810-1879

Chirurgia traheo-bronheală – experienţa clinicii chirurgie fecmf, USFf „Nicolae Testemiţanu”

Tracheo-bronchial surgery – the experience of the department of surgery of cme faculty of SUMPh “Nicolae Testemitanu”

Pag. 44-45

Gladun Nicolae, Balica Ion, Iusco Teofil, Maxim Igor, Rusu Serghei, Toma Alexandru

Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“

Disponibil în IBN: 15 ianuarie 2022

Descarcă PDF

Rezumat

Introducere: Chirurgia traheo-bronhială este o parte componentă, dificilă a chirurgiei toracice. Paradoxul realizărilor moderne în reanimatologie şi terapie intensivă este că odată cu majorarea eficacităţii readucerii la viaţă a pacienţilor din come profunde (posttraumatice, septice, toxice) creşte numărul suferinzilor de complicaţii ale ventilaţiei asistate. Scopul: De a demonstra experiența şi posibilităţile chirurgiei toracice autohtone în acest domeniu. Material şi metode: Dispunem de un fişier propriu de 110 cazuri de intervenţii pe arborele traheo-bronhial. Stenozele traheale alcătuiesc majoritatea indicaţiilor pentru intervenţiile de reconstrucţie a traheii – 50 cazuri, urmează tumorile traheo-bronhopulmonare – 24, procesele inflamatorii cu cicatrizare şi stenozare a lumenului bronhial – 15, traumatismele traheo-bronhiale – 10, tumorile mediastinale – 6, fistulele traheo-esofagiene – 5. Rezultate: Am efectuat următoarele intervenţii chirurgicale: rezecţii – anastomoze circulare a traheii cervicale şi toracice – 31 cazuri, rezecţii „în pană” – 11, rezecţii de bifurcaţie a traheei – 4, rezecţia laringo-traheală cu osteoplastie – 8, lobectomii cu rezecţii bronho-anastomoză – 22, osteoplastie a membranei traheale – 15, sutura leziunilor traheo-bronhiale – 8, rezecţia bronho-anastomoză în stenozele posttraumatice a bronhiei primitive – 6, fistulele esofago-traheale – 5. Concluzii: Intervenţiile pe căile respiratoriii sunt de complexitate majoră

Introduction: Tracheo-bronchial surgery is a challenging part of thoracic surgery. In modern intensive care, paradoxically a greater number of patients with complications after mechanical ventilation occur, as the efficiency of resuscitation and intensive care in patients with profound comas (posttraumatic, septic, toxic) increases. Aim: To share the experience and possibilities of thoracic surgery in our department. Material and methods: A group of 110 patients were operated on the trachea-bronchial tree. Tracheal stenosis consisted the majority of indications for tracheal reconstructions – 50 cases, followed by tracheo-broncho-pulmonary tumors – 24, inflammatory processes with bronchial scar stenosis – 15, trachea-bronchial trauma – 10, mediastinal tumors – 6, tracheoesophageal fistulas – 5. Results: The following operations were performed: circular resections with anastomosis of the cervical and thoracic trachea – 31, marginal resections – 11, bifurcational resections – 4, laryngo-tracheal resections with osteoplastics – 8, lobectomies with bronchoanastomosis – 22, tracheal membrane osteoplasty – 15, suture of tracheo-bronchial injury – 8, bronchial resection followed by bronchoanastomosis for posttraumatic stenosis of primitive bronchus – 6, esophagotracheal fistulas – 5. Conclusions: Tracheo-broncho-pulmonary surgery poses significant complexity and requires great experience in thoracic surgery, as well as a strong cooperation with anesthesiology and bronchology teams.

Cerif XML Export

<?xml version='1.0' encoding='utf-8'?>
<CERIF xmlns='urn:xmlns:org:eurocris:cerif-1.5-1' xsi:schemaLocation='urn:xmlns:org:eurocris:cerif-1.5-1 http://www.eurocris.org/Uploads/Web%20pages/CERIF-1.5/CERIF_1.5_1.xsd' xmlns:xsi='http://www.w3.org/2001/XMLSchema-instance' release='1.5' date='2012-10-07' sourceDatabase='Output Profile'>
<cfResPubl>
<cfResPublId>ibn-ResPubl-148126</cfResPublId>
<cfResPublDate>2015-12-30</cfResPublDate>
<cfVol>56</cfVol>
<cfIssue>3</cfIssue>
<cfStartPage>44</cfStartPage>
<cfISSN>1810-1852</cfISSN>
<cfURI>https://ibn.idsi.md/ro/vizualizare_articol/148126</cfURI>
<cfTitle cfLangCode='RO' cfTrans='o'>Chirurgia traheo-bronheală &ndash; experienţa clinicii chirurgie fecmf, USFf &bdquo;Nicolae Testemiţanu&rdquo;</cfTitle>
<cfAbstr cfLangCode='RO' cfTrans='o'><p>Introducere: Chirurgia traheo-bronhială este o parte componentă, dificilă a chirurgiei toracice. Paradoxul realizărilor moderne &icirc;n reanimatologie şi terapie intensivă este că odată cu majorarea eficacităţii readucerii la viaţă a pacienţilor din come profunde (posttraumatice, septice, toxice) creşte numărul suferinzilor de complicaţii ale ventilaţiei asistate. Scopul: De a demonstra experiența şi posibilităţile chirurgiei toracice autohtone &icirc;n acest domeniu. Material şi metode: Dispunem de un fişier propriu de 110 cazuri de intervenţii pe arborele traheo-bronhial. Stenozele traheale alcătuiesc majoritatea indicaţiilor pentru intervenţiile de reconstrucţie a traheii &ndash; 50 cazuri, urmează tumorile traheo-bronhopulmonare &ndash; 24, procesele inflamatorii cu cicatrizare şi stenozare a lumenului bronhial &ndash; 15, traumatismele traheo-bronhiale &ndash; 10, tumorile mediastinale &ndash; 6, fistulele traheo-esofagiene &ndash; 5. Rezultate: Am efectuat următoarele intervenţii chirurgicale: rezecţii &ndash; anastomoze circulare a traheii cervicale şi toracice &ndash; 31 cazuri, rezecţii &bdquo;&icirc;n pană&rdquo; &ndash; 11, rezecţii de bifurcaţie a traheei &ndash; 4, rezecţia laringo-traheală cu osteoplastie &ndash; 8, lobectomii cu rezecţii bronho-anastomoză &ndash; 22, osteoplastie a membranei traheale &ndash; 15, sutura leziunilor traheo-bronhiale &ndash; 8, rezecţia bronho-anastomoză &icirc;n stenozele posttraumatice a bronhiei primitive &ndash; 6, fistulele esofago-traheale &ndash; 5. Concluzii: Intervenţiile pe căile respiratoriii sunt de complexitate majoră</p></cfAbstr>
<cfAbstr cfLangCode='EN' cfTrans='o'><p>Introduction: Tracheo-bronchial surgery is a challenging part of thoracic surgery. In modern intensive care, paradoxically a greater number of patients with complications after mechanical ventilation occur, as the efficiency of resuscitation and intensive care in patients with profound comas (posttraumatic, septic, toxic) increases. Aim: To share the experience and possibilities of thoracic surgery in our department. Material and methods: A group of 110 patients were operated on the trachea-bronchial tree. Tracheal stenosis consisted the majority of indications for tracheal reconstructions &ndash; 50 cases, followed by tracheo-broncho-pulmonary tumors &ndash; 24, inflammatory processes with bronchial scar stenosis &ndash; 15, trachea-bronchial trauma &ndash; 10, mediastinal tumors &ndash; 6, tracheoesophageal fistulas &ndash; 5. Results: The following operations were performed: circular resections with anastomosis of the cervical and thoracic trachea &ndash; 31, marginal resections &ndash; 11, bifurcational resections &ndash; 4, laryngo-tracheal resections with osteoplastics &ndash; 8, lobectomies with bronchoanastomosis &ndash; 22, tracheal membrane osteoplasty &ndash; 15, suture of tracheo-bronchial injury &ndash; 8, bronchial resection followed by bronchoanastomosis for posttraumatic stenosis of primitive bronchus &ndash; 6, esophagotracheal fistulas &ndash; 5. Conclusions: Tracheo-broncho-pulmonary surgery poses significant complexity and requires great experience in thoracic surgery, as well as a strong cooperation with anesthesiology and bronchology teams.</p></cfAbstr>
<cfResPubl_Class>
<cfClassId>eda2d9e9-34c5-11e1-b86c-0800200c9a66</cfClassId>
<cfClassSchemeId>759af938-34ae-11e1-b86c-0800200c9a66</cfClassSchemeId>
<cfStartDate>2015-12-30T24:00:00</cfStartDate>
</cfResPubl_Class>
<cfResPubl_Class>
<cfClassId>e601872f-4b7e-4d88-929f-7df027b226c9</cfClassId>
<cfClassSchemeId>40e90e2f-446d-460a-98e5-5dce57550c48</cfClassSchemeId>
<cfStartDate>2015-12-30T24:00:00</cfStartDate>
</cfResPubl_Class>
<cfPers_ResPubl>
<cfPersId>ibn-person-154</cfPersId>
<cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId>
<cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId>
<cfStartDate>2015-12-30T24:00:00</cfStartDate>
</cfPers_ResPubl>
<cfPers_ResPubl>
<cfPersId>ibn-person-20780</cfPersId>
<cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId>
<cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId>
<cfStartDate>2015-12-30T24:00:00</cfStartDate>
</cfPers_ResPubl>
<cfPers_ResPubl>
<cfPersId>ibn-person-19289</cfPersId>
<cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId>
<cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId>
<cfStartDate>2015-12-30T24:00:00</cfStartDate>
</cfPers_ResPubl>
<cfPers_ResPubl>
<cfPersId>ibn-person-29795</cfPersId>
<cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId>
<cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId>
<cfStartDate>2015-12-30T24:00:00</cfStartDate>
</cfPers_ResPubl>
<cfPers_ResPubl>
<cfPersId>ibn-person-20972</cfPersId>
<cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId>
<cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId>
<cfStartDate>2015-12-30T24:00:00</cfStartDate>
</cfPers_ResPubl>
<cfPers_ResPubl>
<cfPersId>ibn-person-87811</cfPersId>
<cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId>
<cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId>
<cfStartDate>2015-12-30T24:00:00</cfStartDate>
</cfPers_ResPubl>
</cfResPubl>
<cfPers>
<cfPersId>ibn-Pers-154</cfPersId>
<cfPersName_Pers>
<cfPersNameId>ibn-PersName-154-2</cfPersNameId>
<cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId>
<cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId>
<cfStartDate>2015-12-30T24:00:00</cfStartDate>
<cfFamilyNames>Gladun</cfFamilyNames>
<cfFirstNames>Nicolae</cfFirstNames>
</cfPersName_Pers>
</cfPers>
<cfPers>
<cfPersId>ibn-Pers-20780</cfPersId>
<cfPersName_Pers>
<cfPersNameId>ibn-PersName-20780-2</cfPersNameId>
<cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId>
<cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId>
<cfStartDate>2015-12-30T24:00:00</cfStartDate>
<cfFamilyNames>Balica</cfFamilyNames>
<cfFirstNames>Ion</cfFirstNames>
</cfPersName_Pers>
</cfPers>
<cfPers>
<cfPersId>ibn-Pers-19289</cfPersId>
<cfPersName_Pers>
<cfPersNameId>ibn-PersName-19289-2</cfPersNameId>
<cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId>
<cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId>
<cfStartDate>2015-12-30T24:00:00</cfStartDate>
<cfFamilyNames>Iusco</cfFamilyNames>
<cfFirstNames>Teofil</cfFirstNames>
</cfPersName_Pers>
</cfPers>
<cfPers>
<cfPersId>ibn-Pers-29795</cfPersId>
<cfPersName_Pers>
<cfPersNameId>ibn-PersName-29795-2</cfPersNameId>
<cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId>
<cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId>
<cfStartDate>2015-12-30T24:00:00</cfStartDate>
<cfFamilyNames>Maxim</cfFamilyNames>
<cfFirstNames>Igor</cfFirstNames>
</cfPersName_Pers>
</cfPers>
<cfPers>
<cfPersId>ibn-Pers-20972</cfPersId>
<cfPersName_Pers>
<cfPersNameId>ibn-PersName-20972-2</cfPersNameId>
<cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId>
<cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId>
<cfStartDate>2015-12-30T24:00:00</cfStartDate>
<cfFamilyNames>Rusu</cfFamilyNames>
<cfFirstNames>Serghei</cfFirstNames>
</cfPersName_Pers>
</cfPers>
<cfPers>
<cfPersId>ibn-Pers-87811</cfPersId>
<cfPersName_Pers>
<cfPersNameId>ibn-PersName-87811-2</cfPersNameId>
<cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId>
<cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId>
<cfStartDate>2015-12-30T24:00:00</cfStartDate>
<cfFamilyNames>Toma</cfFamilyNames>
<cfFirstNames>Alexandru</cfFirstNames>
</cfPersName_Pers>
</cfPers>
</CERIF>