Proc potentially curative? Hard
These proc? Procedures are made? Es with "curative intent". Their aim is the? LIMINATION of all serious diseases, with the knowledge that microscopic disease will probably remain. Adjuvant (another form of treatment in addition to th? Primary therapy) is g? N? Generally destiny? ? ? LIMINATE disease r? siduelle.
For Pleural Mesothelioma:
* Pleurectomy / d? Corticage is g? N? Generally performed? Th of patients with disease stage pr? Coce (stage I and some stage II), and attempts to remove all gross tumor. If it is found? that all the tumor can not? be removed? without removing the lungs, this May? be done in m? me time and is called? e pneumonectomy.
* Extrapleural pneumonectomy is much more radical than other surgical approaches, and should? Be performed? E by m? Doctors with extensive expertise in the? Valuation of patients and the r? Alisation of the proc? Last elle-m? me. (See the conclusion of sp? Specialists.) Because in the past, only surgery has no effect of a replacement? Of, or m? Me to help? prolong life for a long p? period of time, it is currently involved? e? the chemotherapeutic? traditional therapy and / or Radiother? therapy or other novel approaches such as th? therapy g? nique, the Immunother? therapy or th? photodynamic therapy.
G? N? Ral of crit? Res s? Lection of patients for extrapleural pneumonectomy
Extrapleural pneumonectomy is a serious op? Ration and m? Sicians exp? Rhyme? S in this proc? Hard to choose with care for their patients. It is? each m? doctor inform the patient on his faisabilit? and proc? der? tests that he / she is n? necessary to optimize the patient \ 's chances of survival and r? cup? ration. Here is a list g? N? Rale de crit? Res s? Lection of patients. May not this list? Be exhaustive, and May vary depending on the previous f? Ence of the surgeon.
o Karnofsky Performance Status score> 70. This note relates? what symptoms? of my patient's illness-May? tre and the mani? re they are capable of conducting their activities? s daily. Some surgeons May need a performance status more? Lev? than others.
o ad? quat r? nales (kidney) and the function h? patique, no kidney or liver disease.
o normal cardiac function by? and lectrocardiogramme? chocardiographie.
o ad? quate pulmonary function? tol? ing surgery.
o limit disease? e? the hemithorax ipsilat? ral (m? c me? t? the chest in which is located m? Soth? liom) without p? n? tration of the membrane? extending from the heart or the active participation of the chest wall.
o The Seat of the patient is taken into consideration? ration, but not in May? be as important as theirs? tat g? n? ral.
Surgeries of this nature must always? Be done with a compr? Standing totally loss of possible benefits and risks. If you are considering surgery as a treatment option, speak openly with your m? Doctor of your previous occupations, and make sure all your questions will be r? Response? your satisfaction
Tuesday, February 17, 2009
SURGERY & Diagnostics
As indicated? pr c? course in the r? pertoire "symptoms? my \" section of this site, a diagnosis of m? Soth? liom fluid is much more conclusive. Given this fact, diagnostic surgery becomes a next? Tape n? Necessary to confirm the rer? And do m? Soth? Liom.
Thoracoscopy allows the m? Doctor of? Evaluate the cavity? pleural and proc? der? multiple biopsies under direct vision. In up? 98% of cases, a diagnosis of? Final can? Be obtained. Often, chemicals for? pleurodesis relieve the accumulation of fluid in the intrapleural space, can? be accomplished during the m? me proc? hard. It is? Also possible to measure the? Tense of the tumor, and make one message termination of surgical resectability. Although less invasive than a biopsy, it can not? Be performed? E on patients when the tumor has not deleted? pleural space.
VATS, or the vid? O-thoracic surgery assist? E is an alternative? thoracoscopy, more because of its characters re-invasive, the previous occupations of the tumor seeding increase. Using small incisions, m? Doctor can see the space of pl? Continue, with the help of a cam? Ra, and get enough of? Chantillon tissue for analysis by a pathologist. ? tense of the tumor (that is? ie, pleural involvement, invasion of chest wall) May also d? termin? e, and the recommendation on the type of proc? hard n? debulking is necessary? be done at this time.
Mediastinoscopy is sometimes being used as an e help in organizing the? Tense of the disease when the nodes are regarded? R? S? Wide using imaging techniques.
Laproscopy is used? in patients with m? Soth? liom in the event? imaging techniques suggest? rent possible invasion of the tumor by the interm? middle of the diaphragm. This information can? Be important in the? Valuation of a patient for one? Ventuel pleurectomy or extrapleural pneumonectomy.
Proc? Hard palliative
Palliative the proc? Surgical procedures are those that treat the symptoms? Me a m? Soth? Liom, aggressive, without treating the disease it-m? Me.
Chest tube drainage and Pleurodesis is considered? R? the most common of palliative treatments. Liquid, or one? Panche pleural, is most often the first symptoms? Me, inviting patients? m? Soth? liom m? doctor. Once this effusion has occurred, it is many times persistent, returning rapidly apr? S la premi? Re thoracentesis (draining of fluid). In order '? LIMINATE this problem, the pleural space is? Be ferm?. This is accomplished by using a slurry of talc or other agent scl? Rosant which produces a adh? Difference.
Thoracoscopy and Pleurodesis is done in conjunction with VATS using a talcum powder versus talc slurry. Both the tube and drainage? chest and pleurodesis can be effective only if there was no lung tumor circle which limits its expansion.
Shunt plays a Pleuroperitoneal? The limit? in palliative care for several reasons. This is placement of a cath? Ter under the skin of the pl? Vre? cavity? p? riton? ale. Obstruction cath? And b,? Ventuellement, seeding of tumor in the cavity? May abdominal previous occupations.
Pleurectomy, being used as a palliative s proc? Hard in May? Be performed? Th largest op? Ration is not an option. In these cases, it is understood that all visible or gross tumor will not be deleted?. It is considered? R? as the most effective against? the de l '? pleural panche in cases o? lung de l \ 'expansion is limited? e by the disease.
Thoracoscopy allows the m? Doctor of? Evaluate the cavity? pleural and proc? der? multiple biopsies under direct vision. In up? 98% of cases, a diagnosis of? Final can? Be obtained. Often, chemicals for? pleurodesis relieve the accumulation of fluid in the intrapleural space, can? be accomplished during the m? me proc? hard. It is? Also possible to measure the? Tense of the tumor, and make one message termination of surgical resectability. Although less invasive than a biopsy, it can not? Be performed? E on patients when the tumor has not deleted? pleural space.
VATS, or the vid? O-thoracic surgery assist? E is an alternative? thoracoscopy, more because of its characters re-invasive, the previous occupations of the tumor seeding increase. Using small incisions, m? Doctor can see the space of pl? Continue, with the help of a cam? Ra, and get enough of? Chantillon tissue for analysis by a pathologist. ? tense of the tumor (that is? ie, pleural involvement, invasion of chest wall) May also d? termin? e, and the recommendation on the type of proc? hard n? debulking is necessary? be done at this time.
Mediastinoscopy is sometimes being used as an e help in organizing the? Tense of the disease when the nodes are regarded? R? S? Wide using imaging techniques.
Laproscopy is used? in patients with m? Soth? liom in the event? imaging techniques suggest? rent possible invasion of the tumor by the interm? middle of the diaphragm. This information can? Be important in the? Valuation of a patient for one? Ventuel pleurectomy or extrapleural pneumonectomy.
Proc? Hard palliative
Palliative the proc? Surgical procedures are those that treat the symptoms? Me a m? Soth? Liom, aggressive, without treating the disease it-m? Me.
Chest tube drainage and Pleurodesis is considered? R? the most common of palliative treatments. Liquid, or one? Panche pleural, is most often the first symptoms? Me, inviting patients? m? Soth? liom m? doctor. Once this effusion has occurred, it is many times persistent, returning rapidly apr? S la premi? Re thoracentesis (draining of fluid). In order '? LIMINATE this problem, the pleural space is? Be ferm?. This is accomplished by using a slurry of talc or other agent scl? Rosant which produces a adh? Difference.
Thoracoscopy and Pleurodesis is done in conjunction with VATS using a talcum powder versus talc slurry. Both the tube and drainage? chest and pleurodesis can be effective only if there was no lung tumor circle which limits its expansion.
Shunt plays a Pleuroperitoneal? The limit? in palliative care for several reasons. This is placement of a cath? Ter under the skin of the pl? Vre? cavity? p? riton? ale. Obstruction cath? And b,? Ventuellement, seeding of tumor in the cavity? May abdominal previous occupations.
Pleurectomy, being used as a palliative s proc? Hard in May? Be performed? Th largest op? Ration is not an option. In these cases, it is understood that all visible or gross tumor will not be deleted?. It is considered? R? as the most effective against? the de l '? pleural panche in cases o? lung de l \ 'expansion is limited? e by the disease.
