{"id":18500,"date":"2020-01-27T10:54:29","date_gmt":"2020-01-27T09:54:29","guid":{"rendered":"https:\/\/devhml.givememore.net\/specialites\/chirurgie-thoracique\/chirurgie-des-tumeurs-mediastinales\/"},"modified":"2022-02-10T15:53:21","modified_gmt":"2022-02-10T14:53:21","slug":"chirurgie-des-tumeurs-mediastinales","status":"publish","type":"service","link":"https:\/\/devhml.givememore.net\/specialites\/chirurgie-thoracique\/interventions\/chirurgie-des-tumeurs-mediastinales\/","title":{"rendered":"Chirurgie des tumeurs m\u00e9diastinales"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">A c\u00f4t\u00e9 de la chirurgie d\u2019ex\u00e9r\u00e8se des tumeurs b\u00e9nignes du m\u00e9diastin, qui sont des interventions de routine dans cet \u00e9tablissement, <strong>nous avons d\u00e9velopp\u00e9 depuis 1980 une technique particuli\u00e8re d\u2019ex\u00e9r\u00e8se des tumeurs malignes du m\u00e9diastin envahissant les structures vasculaires<\/strong>, notamment la veine cave sup\u00e9rieure moyennant le remplacement de celles-ci par des proth\u00e8ses de PTFE avec des r\u00e9sultats tout \u00e0 fait satisfaisants puisque le taux de survie \u00e0 5 et 10 ans est d\u2019environ 50 %.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cette chirurgie d\u2019ex\u00e9r\u00e8se \u00e9largie s\u2019adresse aux thymomes, mais aussi aux cancers peu diff\u00e9renci\u00e9s du m\u00e9diastin ou aux tumeurs germinales primitives du m\u00e9diastin, aux sarcomes et tumeurs carcino\u00efdes malignes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dans le cadre de la chirurgie d\u2019ex\u00e9r\u00e8se des tumeurs du m\u00e9diastin, nous avons d\u00e9velopp\u00e9 il y a 10 ans, une technique de curage ganglionnaire trans-diaphragmatique du m\u00e9diastin post\u00e9rieur permettant ainsi d\u2019\u00e9tendre \u00e0 l\u2019espace infram\u00e9diastinal post\u00e9rieur les curages ganglionnaires r\u00e9trop\u00e9riton\u00e9aux des cancers du testicule apr\u00e8s chimioth\u00e9rapie.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cette chirurgie faite souvent conjointement \u00e0 l\u2019ex\u00e9r\u00e8se de m\u00e9tastases pulmonaires, offre des chances tr\u00e8s importantes de gu\u00e9rison chez ces patients souvent tr\u00e8s jeunes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Une grande partie des tumeurs germinales du m\u00e9diastin fran\u00e7aises sont adress\u00e9es \u00e0 notre centre pour intervention d\u2019ex\u00e9r\u00e8se de premi\u00e8re ou de seconde intention en raison de la difficult\u00e9 de cette chirurgie et par le fait que les dossiers de ces patients sont souvent regroup\u00e9s et discut\u00e9s apr\u00e8s \u00e9chec de premi\u00e8re et deuxi\u00e8me ligne de chimioth\u00e9rapie.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A c\u00f4t\u00e9 de la chirurgie d\u2019ex\u00e9r\u00e8se des tumeurs b\u00e9nignes du m\u00e9diastin, qui sont des interventions de routine dans cet \u00e9tablissement, nous avons d\u00e9velopp\u00e9 depuis 1980 une technique particuli\u00e8re d\u2019ex\u00e9r\u00e8se des tumeurs malignes du m\u00e9diastin envahissant les structures vasculaires, notamment la veine cave sup\u00e9rieure moyennant le remplacement de celles-ci par des proth\u00e8ses de PTFE avec des [&hellip;]<\/p>\n","protected":false},"author":22,"featured_media":0,"parent":16234,"menu_order":1,"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 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