Robotic Lung Volume Reduction Surgery With Extracorporeal Membrane Oxygenation.

Autor:	Rocha Júnior E; Division of Thoracic Surgery, Hospital Sirio-Libanês, São Paulo, Brazil. Electronic address: eservalr@hotmail.com., Mingarini Terra R; Division of Thoracic Surgery, Hospital Sirio-Libanês, São Paulo, Brazil., Guerreiro Cardoso PF; Division of Thoracic Surgery, Hospital Sirio-Libanês, São Paulo, Brazil., Abdalla LG; Division of Thoracic Surgery, Hospital Sirio-Libanês, São Paulo, Brazil., Matos Fernandes L; Division of Thoracic Surgery, Hospital Sirio-Libanês, São Paulo, Brazil., Pereira de Albuquerque AL; Division of Pulmonology, Hospital Sirio-Libanês, São Paulo, Brazil., Pinella Helaehil Barra SM; Division of Cardiology, Hospital Sirio-Libanês, São Paulo, Brazil., Pêgo-Fernandes PM; Division of Thoracic Surgery, Hospital Sirio-Libanês, São Paulo, Brazil.
Jazyk:	angličtina
Zdroj:	The Annals of thoracic surgery [Ann Thorac Surg] 2022 Nov; Vol. 114 (5), pp. e351-e354. Date of Electronic Publication: 2022 Feb 23.
DOI:	10.1016/j.athoracsur.2022.01.059
Abstrakt:	Lobectomy for consolidation of failed endoscopic lung volume reduction for emphysema has been reported in selected patients with favorable results but with considerable morbidity. The challenging issues in such patients are frailty caused by severe emphysema itself, poor tolerance to single-lung ventilation, target lobe hyperinflation, and inability to use gas inflation for the minimally invasive resection. Careful planning, including use of a robotic platform and extracorporeal membrane oxygenation support, can circumvent such difficulties and ensure a safe, minimally invasive resection in the high-risk emphysematous patient. (Copyright © 2022 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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