{"id":12510,"date":"2018-11-08T12:34:22","date_gmt":"2018-11-08T12:34:22","guid":{"rendered":"https:\/\/saintjoseph.agepcom.fr\/?post_type=service&#038;p=12510"},"modified":"2022-02-10T15:52:45","modified_gmt":"2022-02-10T14:52:45","slug":"chirurgie-pleuropulmonaire","status":"publish","type":"service","link":"https:\/\/devhml.givememore.net\/specialites\/chirurgie-thoracique\/interventions\/chirurgie-pleuropulmonaire\/","title":{"rendered":"Chirurgie pleuropulmonaire"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>L\u2019activit\u00e9 de chirurgie pleuropulmonaire inclut certes la chirurgie pleuropulmonaire conventionnelle (ex\u00e9r\u00e8ses pulmonaires, chirurgie de la pl\u00e8vre etc.).<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Mais est en fait, de plus en plus orient\u00e9e vers les interventions chirurgicales complexes ou originales pour cancer du poumon mises au point \u00e0 Marie Lannelongue.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Chirurgie d\u2019ex\u00e9r\u00e8se des tumeurs broncho-pulmonaires envahissant la bifurcation trach\u00e9o-bronchique, la veine cave sup\u00e9rieure, l\u2019aorte thoracique la paroi thoracique ou l\u2019apex pleuropulmonaire faites quelquefois sous CEC qui sont adress\u00e9s de toute la France et de l\u2019\u00e9tranger.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cette chirurgie des cancers bronchiques est en pleine expansion car le cancer bronchique est le seul cancer augmentant en fr\u00e9quence et parce que la chimioth\u00e9rapie loin de restreindre les indications chirurgicales, au contraire les augmente, en rendant op\u00e9rables des cancers initialement inop\u00e9rables. D\u2019autre part le d\u00e9veloppement de l\u2019imagerie moderne permet de d\u00e9tecter pr\u00e9cocement les cancers bronchiques dans les populations \u00e0 risque en augmentant les indications chirurgicales<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Les r\u00e9sultats \u00e0 long terme de ces chirurgies \u00e9largies des cancers broncho-pulmonaires appel\u00e9s T4 ont \u00e9t\u00e9 pr\u00e9sent\u00e9s en s\u00e9ance pl\u00e9ni\u00e8re au congr\u00e8s mondial sur le cancer bronchique \u00e0 Seoul en septembre 2007 et \u00e0 l\u2019American Society of Thoracic Surgeons en janvier 2008 et publi\u00e9s dans Annals of Thoracic Surgery en 2008.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Les m\u00e9tastases pulmonaires de cancers digestifs, g\u00e9nitaux, de sarcomes osseux ou des parties molles etc, sont de plus en plus souvent propos\u00e9es au chirurgien pour ex\u00e9r\u00e8se dans le cadre de protocoles multidisciplinaires.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Chirurgie des s\u00e9quelles tuberculeuses ou chirurgie de l\u2019aspergillose pulmonaire qui pose encore des probl\u00e8mes complexes faisant en sorte que ces malades nous sont habituellement envoy\u00e9s de diff\u00e9rents CHU ou CHR fran\u00e7ais, car peu d\u2019\u00e9quipes ont l\u2019exp\u00e9rience de ce type de chirurgie.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Chirurgie plastique trach\u00e9o-bronchique qu\u2019il s\u2019agisse de r\u00e9section anastomose bronchique de tumeur lobaire, de cure de fistule bronchique apr\u00e8s ex\u00e9r\u00e8se pulmonaire ou de chirurgie de reconstruction de la bifurcation trach\u00e9o-bronchique. Le d\u00e9veloppement de ces techniques a fait significativement diminuer le nombre de pneumonectomies au profit des lobectomies \u00e9largies avec r\u00e9implantation bronchique et vasculaire sur le m\u00e9diastin. Nous avons pr\u00e9sent\u00e9 au congr\u00e8s de l\u2019AATS en avril 2005 la plus grande s\u00e9rie mondiale de r\u00e9section de la bifurcation trach\u00e9obronchique pour carcinome et \u00e0 celui de 2006 la plus grande s\u00e9rie de r\u00e9section-reconstruction de l\u2019axe bronchique apr\u00e8s lobectomie.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>L\u2019activit\u00e9 de chirurgie pleuropulmonaire inclut certes la chirurgie pleuropulmonaire conventionnelle (ex\u00e9r\u00e8ses pulmonaires, chirurgie de la pl\u00e8vre etc.). Mais est en fait, de plus en plus orient\u00e9e vers les interventions chirurgicales complexes ou originales pour cancer du poumon mises au point \u00e0 Marie Lannelongue. Chirurgie d\u2019ex\u00e9r\u00e8se des tumeurs broncho-pulmonaires envahissant la bifurcation trach\u00e9o-bronchique, la veine cave [&hellip;]<\/p>\n","protected":false},"author":22,"featured_media":0,"parent":16234,"menu_order":0,"template":"","meta":{"_acf_changed":false,"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"etablissements":[],"services":[],"class_list":["post-12510","service","type-service","status-publish","hentry"],"acf":[],"featured_img":false,"coauthors":[],"author_meta":{"author_link":"https:\/\/devhml.givememore.net\/author\/charlotte-gmm\/","display_name":"Charlotte"},"relative_dates":{"created":"Publi\u00e9 8 ans il y a","modified":"Mis \u00e0 jour 4 ans il y a"},"absolute_dates":{"created":"Publi\u00e9 le 8 novembre 2018","modified":"Mise \u00e0 jour le 10 f\u00e9vrier 2022"},"absolute_dates_time":{"created":"Publi\u00e9 le 8 novembre 2018 12 h 34 min","modified":"Mise \u00e0 jour le 10 f\u00e9vrier 2022 15 h 52 min"},"featured_img_caption":"","tax_additional":{"etablissements":{"linked":[],"unlinked":[],"slug":"etablissements","name":"\u00c9tablissements"},"services":{"linked":[],"unlinked":[],"slug":"services","name":"Services"}},"series_order":"","_links":{"self":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/12510","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service"}],"about":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/types\/service"}],"version-history":[{"count":0,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/12510\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/16234"}],"wp:attachment":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/media?parent=12510"}],"wp:term":[{"taxonomy":"etablissements","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/etablissements?post=12510"},{"taxonomy":"services","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/services?post=12510"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}