He International Ruber Hospitalreferring to the Spanish and European level, has carried out a Complex and uncommon surgery that the doctors led Diego Gonzalez Rivas and Régulo Ávila Martínezof the minimally invasive thoracic surgery unit of the Madrid center.
The team has operated a 50 -year -old patient who had a Tumor in the left lung And that, in turn, reached the main bronchus and the trachea’s carina. This was in the area where the trachea is divided into the two bronchi, “with which, if the tumor gets there, it cannot be resected because the trachea invades,” explains Dr. Régulo Ávila.
Under that starting point, the Medical team has removed the left lung, with the need to cut the carina Tracheal and, later, they have had to anastomosar, separately, the right lung to the trachea, that is, they connected them.
To achieve this, the patient’s ventilation has been a real challenge.
On the one hand, they had a new pulmonary selective ventilation system (FCV: Flow Control Ventilation), with an ultrafine endotracheal tube called Tribute; And, on the other, in case of failure, they had a Extracorporeal membrane oxygenation system called ECMO. This rescue therapy consists of an oxygenation equipment, which allows the respiratory function and oxygenate the blood while the lungs can remain inactive; This system is frequently used in lung transplants, “in short, an artificial lung during surgery,” describes Dr. Ávila.
Technically, says the specialist, «It is a possible and curative procedurebut complex, since it entails many risks ». First, it emphasizes, because, before the intervention, the patient received radiotherapy and chemotherapy to stop the growth of the tumor, “but did not work and the tumor continued to grow, so that, if we did not perform this operation, the tumor would end up obstructing the other lung and the person could die in a short time.”
Secondly, it is complex because join the right bronchio to the trachea. Finally, he adds, «as the patient is radiated and have to take off the lung of the heartthe risk is greater ».
It is unusual surgery, since “there are very few cases,” says Dr. Régulo Ávila. Its duration has been six hours and the team has been composed of three surgeons, an anesthetist, a perfusionist, nurses and the rest of the operating room.
Once the intervention was performed, the team was able to extubate the patient immediately to surgery or the next day. «Then, you can make normal life because the operation is minimally invasivewith a single incision. In addition, in principle, The patient will not need any radiotherapy or chemotherapy treatment», Concludes the expert.
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