Extracorporeal support for pulmonary resection: current indications and results

World Journal of Surgical Oncology

Review

Fabrizio Gronchi¹  Jean Yannis Perentes²  Petra Rosskopfova²  Michel Gonzalez²  Thorsten Krueger²  Hans-Beat Ris² 

[1] Division of Thoracic Anesthesiology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland;Division of Thoracic Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland;

关键词: Extracorporeal lung support;    Tracheal resection;    Carinal resection;    Non-small cell lung cancer;    Cardio-pulmonary bypass;   

DOI  :  10.1186/s12957-016-0781-0

 received in 2015-10-12, accepted in 2016-01-26,  发布年份 2016

来源: Springer

【 摘 要 】

Extracorporeal assistances are exponentially used for patients, with acute severe but reversible heart or lung failure, to provide more prolonged support to bridge patients to heart and/or lung transplantation. However, experience of use of extracorporeal assistance for pulmonary resection is limited outside lung transplantation. Airways management with standard mechanical ventilation system may be challenging particularly in case of anatomical reasons (single lung), presence of respiratory failure (ARDS), or complex tracheo-bronchial resection and reconstruction. Based on the growing experience during lung transplantation, more and more surgeons are now using such devices to achieve good oxygenation and hemodynamic support during such challenging cases. We review the different extracorporeal device and attempt to clarify the current practice and indications of extracorporeal support during pulmonary resection.

【 授权许可】

CC BY   
© Rosskopfova et al. 2016