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Operative Interdisziplinarität—Thorax

Aus der Sicht des Allgemeinchirurgen

Interdisciplinary surgery of the thorax—from the general surgeon’s point of view

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Zusammenfassung

Für das souveräne Agieren in der Thoraxchirurgie kann es von erheblicher Relevanz sein, größere Eingriffe interdisziplinär zu planen und durchzuführen. Eingriffe an Thoraxwand, Thoraxorganen und angrenzenden Körperregionen wie Hals, Axilla, Arm und Wirbelsäule können in Kombination erforderlich werden. Ausgedehnte onkologische Resektionen bei fortgeschrittenen Tumorleiden oder Folgezustände nach Bestrahlung oder Trauma erklären die Vielfalt an möglichen chirurgischen Eingriffen. Die Notwendigkeit von Gefäßersatz, Operation am Plexus brachialis, an der Halswirbelsäule, am Herzen sowie die plastische Defektdeckung und Thoraxwandstabilisierung bedingt hohe Ansprüche an Infrastruktur und Operationstechnik, modernstes Equipment und die Anwendung des aktuellsten Know-hows.

Wie haben exemplarisch einige Erkrankungen ausgewählt, die unseres Erachtens Gegenstand interdisziplinärer Therapieplanung und -durchführung sein können. Dabei sollten onkologische, funktionelle und nicht zuletzt rekonstruktive Aspekte beachtet werden.

Abstract

Interdisciplinary professional management is the most important basic principle for successfully mastering thoracic operations including the thoracic wall and adjacent regions such as neck, axilla, mediastinal vessels, upper limb, and spine. Extended oncological resection in advanced malignant diseases, side-effects of radiotherapy and trauma explain the diversity of possible operative procedures. For technical success, the necessity of vascular grafting, reconstruction of the brachial plexus, spine surgery, cardiac surgery, plastic thoracic wall reconstruction, stabilization of the thoracic wall, modern equipment, and know-how are mandatory. We chose some show-cases which—in our opinion—might be appropriate for demonstrating interdisciplinary therapy management. Functional, oncological, and cosmetic/reconstructive aspects should be considered when approaching these cases.

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Authors and Affiliations

  1. Klinik und Poliklinik für Allgemein-, Viszeral- und Thoraxchirurgie, Universität Hamburg-Eppendorf, Hamburg

    J. R. Izbicki, E. Yekebas & S. Kastl

  2. Klinik und Poliklinik für Allgemein-, Viszeral- und Thoraxchirurgie, Universität Hamburg-Eppendorf, Martinistraße 52, 20246 , Hamburg

    J. R. Izbicki

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  1. J. R. Izbicki
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  2. E. Yekebas
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  3. S. Kastl
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Correspondence to J. R. Izbicki.

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Izbicki, J.R., Yekebas, E. & Kastl, S. Operative Interdisziplinarität—Thorax. Chirurg 75, 359–365 (2004). https://doi.org/10.1007/s00104-004-0837-5

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  • DOI: https://doi.org/10.1007/s00104-004-0837-5

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