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Jurnalul de Chirurgie最新文献

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The role of pulmonary hypertension in the postoperative evolution of lung cancer patients 肺动脉高压在肺癌患者术后演变中的作用
Pub Date : 2023-03-31 DOI: 10.7438/jsurg.2023.01.04
Igor Maxim
. BACKGROUND. Lung cancer continues to be a leading cause of cancer deaths globally. Pulmonary hypertension is considered an unfavorable prognostic factor and even a contraindication for major pulmonary resection. AIM. Identification of useful methods to prevent postoperative complications in patients with lung cancer and concurrent pulmonary hypertension (PH) METHODS. A review of the literature was conducted in which the searching strategy was the Google search, PubMed database and Elsevier. RESULTS. Transthoracic echocardiography is a useful method for identifying PH at PAP values >= 35 mmHg. The PAP/Ao index on chest CT determines the presence of PH as well as its etiology. Cardiac catheterization remains the gold standard for the diagnosis of PH and is not routinely performed in patients with lung cancer. Unilateral pulmonary artery occlusion is a useful additional investigative parameter that has its specific role as part of the preoperative evaluation of lung cancer patients who are candidates for major lung resections. CONCLUSIONS. The increasing incidence of lung cancer as well as the high risk of developing postoperative complications in association with PH require a vigilant approach to both respiratory and hemodynamic parameters to prevent postoperative complications. Preoperative evaluation in these patients requires a multidisciplinary approach that includes thoracic surgeons, cardiologists, anesthesiologists, and pulmonologists. Lung transplantation may be a treatment option for stage I lung cancer with severe PH
. 背景。肺癌仍然是全球癌症死亡的主要原因。肺动脉高压被认为是一个不利的预后因素,甚至是大肺切除术的禁忌症。的目标。探讨预防肺癌并发肺动脉高压(PH)患者术后并发症的有效方法。对文献进行综述,检索策略为谷歌检索、PubMed数据库和Elsevier。结果。经胸超声心动图是鉴别PAP值>= 35 mmHg时PH值的有效方法。胸部CT上的PAP/Ao指数决定了PH的存在及其病因。心导管检查仍然是诊断PH的金标准,并不是肺癌患者的常规检查。单侧肺动脉闭塞是一个有用的额外的调查参数,它在肺癌患者的术前评估中具有特殊的作用,这些患者可能需要进行肺大切除术。结论。随着肺癌发病率的增加以及与PH相关的术后并发症的高风险,需要对呼吸和血流动力学参数保持警惕,以预防术后并发症。这些患者的术前评估需要多学科的方法,包括胸外科医生、心脏病专家、麻醉师和肺科医生。肺移植可能是伴有严重PH的I期肺癌的一种治疗选择
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引用次数: 0
Clostridioides difficile Clostridioides困难
Pub Date : 2023-03-20 DOI: 10.7438/jsurg.2023.01.01
Bianca Bălaș-Maftei
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引用次数: 0
Recenzie Congresul Romtransplant la Iași Ed.XII sept 2022 回顾 2022 年 9 月在雅西举行的罗马器官移植大会第十二届会议
Pub Date : 2022-12-31 DOI: 10.7438/jsurg.2022.04.10
I. Nistot
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引用次数: 0
Hepatocellular carcinoma-clinical case and review of the literature 肝细胞癌的临床病例及文献复习
Pub Date : 2022-12-31 DOI: 10.7438/jsurg.2022.04.07
C. Bradea
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引用次数: 0
Recenzie carte The IASGO Textbook of Multi-Disciplinary Management of Hepato-Pancreato-Biliary Diseases" 《IASGO肝胆胰疾病多学科管理教材》
Pub Date : 2022-12-31 DOI: 10.7438/jsurg.2022.04.11
E. Târcoveanu
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引用次数: 0
Challenges of bariatric surgery in adolescents with obesity 肥胖青少年减肥手术的挑战
Pub Date : 2022-12-31 DOI: 10.7438/jsurg.2022.04.02
Mihaela Manole
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引用次数: 0
Amyand’s hernia a challenge in acute care surgery Amyand的疝气是急症护理外科的一个挑战
Pub Date : 2022-12-31 DOI: 10.7438/jsurg.2022.04.06
A. Vasilescu
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引用次数: 0
Negative pressure treatment is also about variation of liquid fluid velocity inside a vacuum kit 负压处理还涉及真空装置内液流速度的变化
Pub Date : 2022-12-31 DOI: 10.7438/jsurg.2022.04.03
B. Ciuntu
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引用次数: 0
Risk factors for biliary tract injuries during laparoscopic cholecystectomy 腹腔镜胆囊切除术中胆道损伤的危险因素
Pub Date : 2022-12-31 DOI: 10.7438/jsurg.2022.04.05
A. Papancea
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引用次数: 0
Nosocomial infections in surgical departments 外科医院感染
Pub Date : 2022-12-31 DOI: 10.7438/jsurg.2022.04.01
C. Manciuc
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引用次数: 0
期刊
Jurnalul de Chirurgie
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