Cargando…
Right tracheal sleeve pneumonectomy with VV-ECMO assistance for non-small cell lung cancer through anterior thoracotomy: a single centre experience
For a long time, non-small cell lung cancer (NSCLC) arising less than 2 cm distal to the carina has been usually considered unresectable and incurable with a radical or extended resection because of surgical technical difficulty and airway management. Recently, the introduction of more advanced surg...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10435269/ https://www.ncbi.nlm.nih.gov/pubmed/37601529 http://dx.doi.org/10.3389/fsurg.2023.1238462 |
_version_ | 1785092062093246464 |
---|---|
author | Marziali, Valentina Mangiameli, Giuseppe Crepaldi, Alessandro Piccioni, Federico Costantini, Elena Citterio, Enrico Borbone, Alessandro Cariboni, Umberto |
author_facet | Marziali, Valentina Mangiameli, Giuseppe Crepaldi, Alessandro Piccioni, Federico Costantini, Elena Citterio, Enrico Borbone, Alessandro Cariboni, Umberto |
author_sort | Marziali, Valentina |
collection | PubMed |
description | For a long time, non-small cell lung cancer (NSCLC) arising less than 2 cm distal to the carina has been usually considered unresectable and incurable with a radical or extended resection because of surgical technical difficulty and airway management. Recently, the introduction of more advanced surgical techniques, often including the use of extracorporeal life support (ECLS), has allowed us to extend the limits of conventional surgery, increasing the rate of complete surgical resection. ECLS also overcomes the limitation of conventional ventilation during complex tracheo-bronchial reconstruction, avoiding the presence of disturbing lines or tubes that obstruct the operative field during a challenging surgery. In this article, we share our experience in performing right tracheal sleeve pneumonectomy with veno-venous extracorporeal membrane oxygenation (VV-ECMO) in three cases by anterior right thoracotomy, reporting our tips and tricks. |
format | Online Article Text |
id | pubmed-10435269 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-104352692023-08-18 Right tracheal sleeve pneumonectomy with VV-ECMO assistance for non-small cell lung cancer through anterior thoracotomy: a single centre experience Marziali, Valentina Mangiameli, Giuseppe Crepaldi, Alessandro Piccioni, Federico Costantini, Elena Citterio, Enrico Borbone, Alessandro Cariboni, Umberto Front Surg Surgery For a long time, non-small cell lung cancer (NSCLC) arising less than 2 cm distal to the carina has been usually considered unresectable and incurable with a radical or extended resection because of surgical technical difficulty and airway management. Recently, the introduction of more advanced surgical techniques, often including the use of extracorporeal life support (ECLS), has allowed us to extend the limits of conventional surgery, increasing the rate of complete surgical resection. ECLS also overcomes the limitation of conventional ventilation during complex tracheo-bronchial reconstruction, avoiding the presence of disturbing lines or tubes that obstruct the operative field during a challenging surgery. In this article, we share our experience in performing right tracheal sleeve pneumonectomy with veno-venous extracorporeal membrane oxygenation (VV-ECMO) in three cases by anterior right thoracotomy, reporting our tips and tricks. Frontiers Media S.A. 2023-08-03 /pmc/articles/PMC10435269/ /pubmed/37601529 http://dx.doi.org/10.3389/fsurg.2023.1238462 Text en © 2023 Marziali, Mangiameli, Crepaldi, Piccioni, Costantini, Citterio, Borbone and Cariboni. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Surgery Marziali, Valentina Mangiameli, Giuseppe Crepaldi, Alessandro Piccioni, Federico Costantini, Elena Citterio, Enrico Borbone, Alessandro Cariboni, Umberto Right tracheal sleeve pneumonectomy with VV-ECMO assistance for non-small cell lung cancer through anterior thoracotomy: a single centre experience |
title | Right tracheal sleeve pneumonectomy with VV-ECMO assistance for non-small cell lung cancer through anterior thoracotomy: a single centre experience |
title_full | Right tracheal sleeve pneumonectomy with VV-ECMO assistance for non-small cell lung cancer through anterior thoracotomy: a single centre experience |
title_fullStr | Right tracheal sleeve pneumonectomy with VV-ECMO assistance for non-small cell lung cancer through anterior thoracotomy: a single centre experience |
title_full_unstemmed | Right tracheal sleeve pneumonectomy with VV-ECMO assistance for non-small cell lung cancer through anterior thoracotomy: a single centre experience |
title_short | Right tracheal sleeve pneumonectomy with VV-ECMO assistance for non-small cell lung cancer through anterior thoracotomy: a single centre experience |
title_sort | right tracheal sleeve pneumonectomy with vv-ecmo assistance for non-small cell lung cancer through anterior thoracotomy: a single centre experience |
topic | Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10435269/ https://www.ncbi.nlm.nih.gov/pubmed/37601529 http://dx.doi.org/10.3389/fsurg.2023.1238462 |
work_keys_str_mv | AT marzialivalentina righttrachealsleevepneumonectomywithvvecmoassistancefornonsmallcelllungcancerthroughanteriorthoracotomyasinglecentreexperience AT mangiameligiuseppe righttrachealsleevepneumonectomywithvvecmoassistancefornonsmallcelllungcancerthroughanteriorthoracotomyasinglecentreexperience AT crepaldialessandro righttrachealsleevepneumonectomywithvvecmoassistancefornonsmallcelllungcancerthroughanteriorthoracotomyasinglecentreexperience AT piccionifederico righttrachealsleevepneumonectomywithvvecmoassistancefornonsmallcelllungcancerthroughanteriorthoracotomyasinglecentreexperience AT costantinielena righttrachealsleevepneumonectomywithvvecmoassistancefornonsmallcelllungcancerthroughanteriorthoracotomyasinglecentreexperience AT citterioenrico righttrachealsleevepneumonectomywithvvecmoassistancefornonsmallcelllungcancerthroughanteriorthoracotomyasinglecentreexperience AT borbonealessandro righttrachealsleevepneumonectomywithvvecmoassistancefornonsmallcelllungcancerthroughanteriorthoracotomyasinglecentreexperience AT cariboniumberto righttrachealsleevepneumonectomywithvvecmoassistancefornonsmallcelllungcancerthroughanteriorthoracotomyasinglecentreexperience |