Izbicki J R, Yekebas E, Kastl S
Klinik und Poliklinik für Allgemein-, Viszeral- und Thoraxchirurgie, Universität Hamburg-Eppendorf, Hamburg.
Chirurg. 2004 Apr;75(4):359-65. doi: 10.1007/s00104-004-0837-5.
Interdisciplinary professional management is the most important basic principle for successfully mastering thoracic operations including the thoracic wall and adjacent regions such as neck, axilla, mediastinal vessels, upper limb, and spine. Extended oncological resection in advanced malignant diseases, side-effects of radiotherapy and trauma explain the diversity of possible operative procedures. For technical success, the necessity of vascular grafting, reconstruction of the brachial plexus, spine surgery, cardiac surgery, plastic thoracic wall reconstruction, stabilization of the thoracic wall, modern equipment, and know-how are mandatory. We chose some show-cases which-in our opinion-might be appropriate for demonstrating interdisciplinary therapy management. Functional, oncological, and cosmetic/reconstructive aspects should be considered when approaching these cases.
跨学科专业管理是成功掌握包括胸壁及颈部、腋窝、纵隔血管、上肢和脊柱等相邻区域在内的胸部手术的最重要基本原则。晚期恶性疾病的扩大肿瘤切除术、放疗副作用和创伤解释了可能的手术操作的多样性。为了技术上的成功，血管移植、臂丛神经重建、脊柱手术、心脏手术、胸壁整形重建、胸壁稳定、现代设备和专业知识是必不可少的。我们选择了一些我们认为可能适合展示跨学科治疗管理的案例。处理这些病例时应考虑功能、肿瘤学和美容/重建方面。
