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在财政紧缩时代建立基于多学科团队的胸膜服务:胸外科医生的作用。

Establishing a Multidisciplinary Team-Based Pleural Service in the Era of Financial Austerity: The Role of the Thoracic Surgeon.

机构信息

Department of Thoracic Surgery, "Attikon" University Hospital, National and Kapodistrian University of Athens, 12462 Athens, Greece.

2nd Department of Anesthesiology, "Attikon" University Hospital, National and Kapodistrian University of Athens, 12462 Athens, Greece.

出版信息

Medicina (Kaunas). 2023 Feb 22;59(3):432. doi: 10.3390/medicina59030432.

DOI:10.3390/medicina59030432
PMID:36984433
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10051874/
Abstract

Medical thoracoscopy/pleuroscopy has become, after bronchoscopy, the second most commonly utilized endoscopic procedure in interventional pulmonology. Due to their common origin, medical thoracoscopy/pleuroscopy and video-assisted thoracic surgery (VATS) are quite similar procedures technically. In contrast to the prevailing attitude that it should predominantly be performed by interventional pulmonologists, we believe that, like all hybrid-in-nature techniques, it should be implemented as part of a combined specialist care service/team. Herewith, we describe our attempt to establish a multidisciplinary pleural disease program during a difficult economic period for our country, comprising thoracic surgeons, pulmonologists and anesthesiologists, all of whom brought in their experience, expertise and resources to establish and develop the service resulting in a hybridization of the technique, with, as reported, quite favorable results.

摘要

经支气管镜检查后,胸腔镜检查/胸膜镜检查已成为介入性肺病学中第二常用的内镜检查程序。由于它们的共同起源,胸腔镜检查/胸膜镜检查和电视辅助胸腔手术 (VATS) 在技术上非常相似。与普遍认为它主要应由介入性肺病学家进行的观点相反,我们认为,与所有混合性质的技术一样,它应该作为综合专家护理服务/团队的一部分来实施。在此,我们描述了在我国经济困难时期,我们试图建立一个多学科的胸膜疾病项目的尝试,该项目包括胸外科医生、肺病学家和麻醉师,他们都带来了自己的经验、专业知识和资源来建立和发展该服务,从而导致技术的混合,据报道,取得了相当有利的结果。

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本文引用的文献

1
Medical Thoracoscopy Implementation after a European Respiratory Society Course Held from 2003 to 2016: A Survey.2003 年至 2016 年欧洲呼吸学会课程后实施胸腔镜检查:调查。
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Safety and complications of medical thoracoscopy in the management of pleural diseases.医疗胸腔镜在胸膜疾病治疗中的安全性和并发症。
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Major Lung Resections Using Manual Suturing Versus Staplers During Fiscal Crisis.在财政危机期间使用手工缝合与吻合器进行的大型肺切除术
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An interview between a pulmonologist and a thoracic surgeon-Pleuroscopy: the reappearance of an old definition.肺科医生与胸外科医生之间的访谈——胸腔镜检查:旧有定义的再度出现。
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Local anaesthetic thoracoscopy: British Thoracic Society Pleural Disease Guideline 2010.局部麻醉胸腔镜检查:英国胸科学会胸膜疾病指南2010版
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