Intérêt de la chirurgie thoracique vidéoassistée en médecine interne. A propos de sept observations
Autor: | R. Jancovici, H Bili, JP Daly, J Dubrez, F Vaylet, J. Valmary, JM Poirier, J.-P. Algayres, P L'Her, F Ponsa, G Coutant |
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Rok vydání: | 1996 |
Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Gastroenterology Mediastinum medicine.disease Endoscopy Surgery medicine.anatomical_structure Pneumothorax Sympathectomy Cardiothoracic surgery Internal Medicine Thoracoscopy Medicine Thoracotomy business Mediastinal Diseases |
Zdroj: | La Revue de Médecine Interne. 17:579-585 |
ISSN: | 0248-8663 |
Popis: | Since a few years, the medical thoracoscopy has already been used specially for the diagnostic and therapeutic taking up of the pleural pathology. Behind it, the video-assisted thoracic surgery has been improved since 1990. As a surgical technology, it proved its interest refering to the classical thoracotomy by lessening operative morbidity and mortality. The authors discuss its main indications about seven cases, recruted in the internal medicine service and operated in the thoracic surgery service of the Val-de-Grâce hospital. Some of these indications are now admited by most of the authors: 1) diagnostic aims: pulmonary biopsy in case of interstitial pathology, of pulmonary peripheral under-pleural nodule and sometimes of solid tumors of the mediastinum, specially of some lymph-nodes. 2) Therapeutic aims: the spontaneous pneumothorax treatment of the adult remains the most classical indication; the thoracic sympathectomy, the creation of pleuropericardial windows and the resection of benign tumors of the mediastinum are now well acknowledged indications. |
Databáze: | OpenAIRE |
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