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胸科肿瘤患者术后管理方法:临床经验教训

Methods for the postoperative management of the thoracic oncology patients: lessons from the clinic.

作者信息

Leuzzi Giovanni, Facciolo Francesco, Pastorino Ugo, Rocco Gaetano

机构信息

a Thoracic Surgery Unit , IRCCS Istituto Nazionale dei Tumori Foundation , Milan , Italy.

b Department of Surgical Oncology, Thoracic Surgery Unit , Regina Elena National Cancer Institute - IFO , Rome , Italy.

出版信息

Expert Rev Respir Med. 2015;9(6):751-67. doi: 10.1586/17476348.2015.1109453. Epub 2015 Nov 4.

Abstract

Oncological thoracic surgery comprises challenging procedures not only from a surgical point of view but also regarding the postoperative management. The most significant procedures performed for malignancy are those requiring resection of the lung, the pleura, the esophagus, mediastinal structures, the chest wall and airways. Especially after major procedures, postoperative complications occur frequently and usually require a multidisciplinary approach involving thoracic surgeons, anesthesiologists, pulmonologist, physiotherapists and oncologists. Thus, a proper postoperative management is as important as the surgical procedure to achieve the best outcome following surgery. In this article, we provide an overview of the basic principles for management of postoperative imaging and drain system and review the main postoperative complications following thoracic surgery, focusing also on new strategies to prevent them.

摘要

肿瘤胸外科手术不仅在手术操作方面具有挑战性,术后管理也颇具难度。针对恶性肿瘤实施的最重要手术是那些需要切除肺、胸膜、食管、纵隔结构、胸壁和气道的手术。尤其是在大型手术后,术后并发症频繁发生,通常需要胸外科医生、麻醉师、肺科医生、物理治疗师和肿瘤学家的多学科协作。因此,恰当的术后管理与手术操作同样重要,以实现手术后的最佳效果。在本文中,我们概述了术后影像学和引流系统管理的基本原则,并回顾了胸外科手术后的主要并发症,同时也关注预防这些并发症的新策略。

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