Intérêt des résections "en manchon" pour les cancers pulmonaires [Value of the "sleeve" resection for pulmonary cancers]

Détails

ID Serval
serval:BIB_42BF2E97A570
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Intérêt des résections "en manchon" pour les cancers pulmonaires [Value of the "sleeve" resection for pulmonary cancers]
Périodique
Revue médicale de la Suisse romande
Auteur(s)
Probst H., Dusmet M., Corpataux J.M., Ris H.B.
ISSN
0035-3655
Statut éditorial
Publié
Date de publication
2001
Volume
121
Numéro
2
Pages
141-4
Langue
français
Notes
Publication types: English Abstract ; Journal Article ; Review - Publication Status: ppublish
Résumé
A sleeve resection is an anatomical pulmonary resection (segmentectomy, lobectomy or pneumonectomy) combined with the excision of a bronchial segment, with the anastomosis between the airway proximal and distal to it. This technique allows a certain number of centrally located tumors to be completely resected with sufficient margins of healthy tissue. Thus it is possible that the rest of the involved lung can be spared (sleeve segmentectomy or lobectomy), or a pneumonectomy can be performed despite invasion of the carina or distal trachea. The comparison of series of sleeve and conventional resections shows similar 5-year survival rates if the stage and histological subtypes are taken into account. The specific morbidity of the procedure is the partial or complete breakdown of the anastomosis (producing a stenosis or a bronchopleural fistula). This is uncommon and can usually be prevented by the use of a protective perianastomotic flap.
Mots-clé
Humans, Lung Neoplasms, Morbidity, Patient Selection, Pneumonectomy, Prognosis, Surgical Flaps, Survival Analysis, Treatment Outcome
Pubmed
Création de la notice
29/01/2008 12:59
Dernière modification de la notice
20/08/2019 13:45
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