General thoracic surgery Surgery of the chest wall, pleura, mediastinum and lung Zsolt Szentkereszty MD. Ph.D - PowerPoint PPT Presentation

View by Category
About This Presentation
Title:

General thoracic surgery Surgery of the chest wall, pleura, mediastinum and lung Zsolt Szentkereszty MD. Ph.D

Description:

... VATS, open surgery The lung Inflammatory diseases Tuberculosis Parasits (Hydatid) Mycosal infections aspergillosis actinomycosis Konzervative th. surgery ... – PowerPoint PPT presentation

Number of Views:167
Avg rating:3.0/5.0
Slides: 30
Provided by: Szent4
Learn more at: http://sebeszet.med.unideb.hu
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: General thoracic surgery Surgery of the chest wall, pleura, mediastinum and lung Zsolt Szentkereszty MD. Ph.D


1
General thoracic surgery Surgery of the chest
wall, pleura, mediastinum and lungZsolt
Szentkereszty MD. Ph.D
2
The chest wall
  • Chest wall deformities
  • s
  • Pectus excavatum
  • Pectus carinatum

Nuss operation Open surgery
3
The chest wall
  • Inflammatory diseases
  • Subpectoral abscess
  • Osteomyelitis
  • Tietze syndroma

Oncotomy-drainage Conservative th.
4
The chest wall
  • Intercostal (lung) hernia
  • Spontaneous
  • Traumatic
  • Postoperative

Reconstruction with mesh
5
The chest wall
  • Benign tumours I.
  • Lipoma
  • Haemangioma
  • Lymphangioma
  • Neurinoma
  • Neurofibroma
  • Neurolemmoma

Exstirpation
6
The chest wall
  • Benign tumours II.
  • Firbrosal dysplasy
  • Chondroma
  • Osteoma
  • Osteochondroma
  • Myxochondroma
  • Eosinophyl granuloma

Exstirpation
7
The chest wall
  • Malignant tumours
  • Fibrosarcoma
  • Rhabdomyosarcoma
  • Neurofibrosarcoma
  • Liposarcoma

Radical exstirpation, Reconstruction with mesh
8
The chest wall
  • Malignant tumours
  • Chondrosarcoma
  • Osteosarcoma
  • Ewing-sarcoma
  • Lymphoma
  • Metastatic tumours

Radical Exstirpation, Chest wall reconstruction
9
The pelura
  • Pneumothorax
  • Single, tension pneumothorax
  • Total, partial, bilateralis
  • Primary, secondary
  • Sponteneous, traumatic, arteficial

10
The pelura
  • Pneumothorax
  • Observation
  • Aspiration
  • Drainage
  • Surgery
  • VATSpleurodesis
  • Open surgery

11
The pelura
  • Pleural effusions
  • Serothorax
  • Hemothorax
  • Pyothorax (empyema thoracis)
  • Chylothorax

Aspiration, drainage, VATS, thoracotomy
12
The pleura
  • Tumours of the pleura
  • Benign mesothelioma
  • Malignant mesothelioma
  • Carcinosis pleurae

VATS, biopsia, pleurodesis, Pleuro-pneumonectomy
13
The pleura
  • Pleural callus
  • Impotance
  • Decreases the lung function
  • Pain
  • Diagnostic problem
  • Causes
  • Empyema
  • Clotted hematoma

VATS, Thoracotomy decortication
14
The pleura
  • Surgical procedures in pleural diseases
  • Tube drainage
  • VATS
  • Biopsy
  • Pleurodesis
  • Decortication
  • pleuropneumonectomy

15
The lung
  • Diagnosis
  • Chest X-ray
  • Chest CT, PET-CT, MRI
  • Bronchoscopy
  • Lung function tests
  • Lung-scintigraphy
  • Mediastinoscopy, VATS, explorative thoracotomy
  • Exclude other matastases (brain, bone, adrenal
    ect.)

16
The lung
  • Inflammatory diseases I.
  • Chr. pneumonia
  • Middle lobe syndrome
  • Lung abscess
  • Lung gangrene
  • Bronchiectasy
  • Lung abscess (pyogenic, fungal)

Conservative therapy VATS, open surgery
17
The lung
  • Inflammatory diseases
  • Tuberculosis
  • Parasits (Hydatid)
  • Mycosal infections
  • aspergillosis
  • actinomycosis

Konzervative th. surgery (VATS)
18
The lung
  • Benign tumours
  • Adenoma of the bronchus
  • Hamartoma
  • Adenoma

Bronchotomy Sleeve resection VATS Open surgery
19
The lung
Lung cancer
  • Histology
  • Aquamous cell cancer
  • Adeno cancer
  • Small cell cancer
  • Anaplastic cancer
  • Metastatic tumours
  • Diagnosis
  • X-ray
  • CT
  • Bronchoscopy biopsy
  • Transthoracal biopsy
  • Mediastinoscopy (staging)
  • PET-CT
  • Explorative thoracotomy

20
The lung
  • NSC Lung cancer
  • Lobectomy lymphadenectomia
  • Bilobectomy lymphadenectomia
  • Pulmonectomy lymphadenectomia
  • Chemo-radiotherapia
  • Open or thoracoscopic surgery
  • VATS lobectomy (10-20 of the cases)

21
The lung
  • malignant tumours
  • metastatic

Transegmental resection Segmentectomy Lobectomy
lymphadenectomia
22
The lung
  • Surgical procedures
  • Thoracotomy
  • Pulmotomy, enucleation
  • Segmentectomy
  • Lobectomy
  • Pulmonectomy
  • Atypical - transsegmental resection
  • Lymphadenectomy!

23
The lung
  • VATS lobectomy

24
The lung
  • VATS lobectomy

25
The lung
  • VATS lobectomy

26
The mediastinum
  • Inflammation
  • Acute mediastinitis
  • Perforation
  • Descending inflammations

Mediastinotomy drainage
27
The mediastinum
  • Mediastinal tumours
  • Goitre
  • Thymoma
  • Lymphoma
  • Teratoma
  • Pericardial cyst
  • Esophageal Diverticulum
  • Hiatal hernia

Mediastinoscopy, VATS Sternotomy, thoracotomy
28
The mediastinum
  • Surgical procedures
  • Mediastinotomy
  • Mediastinoscopy
  • Sternotomy
  • Thoracotomy
  • VATS

29
Thanks for Your attention!
About PowerShow.com