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Articolul urmator |
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Ultima descărcare din IBN: 2022-07-01 07:37 |
SM ISO690:2012 MAXIM, Igor. Perioperative risks in pneumonectomy in patients with bronchopulmonary cancer. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 274. 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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Pag. 274-274 | ||||||
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Rezumat | ||||||
Background. Detection of bronhopulmonar cancer (BPC) in advanced stages is a medico-social problem that generates a lack of alternatives to maintain the quality and prolonged life of the patient. The late-onset and peculiarities of BPC evolution lead to late stage diagnosis of this pathology. Objective of the study. To assess the perioperative risks in the setting of pneumonectomy in patients with BPC and the results of the intervention in the nearest and remote postoperative period. Material and Methods. Were analyzed 44 medical records of patients who were undergoing treatment in Institute of Emergency Medicine, thoracic surgery department during 2017-2020 with the diagnosis of BPC. All these patients underwent pneumonectomy. Perioperative risks were studied by applying the Charlson Comorbidity Index, but postoperative dynamics and complications are assessed according to the Clavien classification. Results. This study involved 44 patients who had pneumonectomy, 15 of them had a transpericardial approach. Patients signed a consent for enrolment in the study. The average age of the patients was 61.3±11.09 years. Reporting to gender, m/f = 37/7. Preoperatively patients were assessed by Charlson score, all patients had 3 or more comorbidities. Average length of stay in hospital was 16.3±9.3 days. The postoperative outcome of the patients was analyzed by Clavien-Dindo classification. Postoperative mortality in 30 days was 15.9% (n=7). Postoperative complications were reported to 18.18% which is comparable to other studies. Conclusion. Applying the Charlson Comorbidity Index provides increased intraoperative safety. Surgical and AIC technological advances allow expanding indications for lung resection in patients with BPC. |
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Cuvinte-cheie bronhopulmonary cancer, pneumonectomy, risks, cancer bronhopulmonar, pneumonectomie, evoluție postoperatorie |
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