{"id":262355,"date":"2022-07-31T17:58:39","date_gmt":"2022-07-31T17:58:39","guid":{"rendered":"https:\/\/gmtp.gr\/?p=262355"},"modified":"2022-09-13T10:10:44","modified_gmt":"2022-09-13T10:10:44","slug":"thoracic-surgery-2","status":"publish","type":"post","link":"https:\/\/gmtp.gr\/ru\/thoracic-surgery-2\/","title":{"rendered":"\u0422\u043e\u0440\u0430\u043a\u0430\u043b\u044c\u043d\u0430\u044f \u0445\u0438\u0440\u0443\u0440\u0433\u0438\u044f"},"content":{"rendered":"<p>[et_pb_section fb_built=&#187;1&#8243; _builder_version=&#187;4.16&#8243; _module_preset=&#187;default&#187; global_colors_info=&#187;{}&#187;][et_pb_row column_structure=&#187;1_2,1_2&#8243; _builder_version=&#187;4.16&#8243; _module_preset=&#187;default&#187; global_colors_info=&#187;{}&#187;][et_pb_column type=&#187;1_2&#8243; _builder_version=&#187;4.16&#8243; _module_preset=&#187;default&#187; global_colors_info=&#187;{}&#187;][et_pb_image src=&#187;https:\/\/gmtp.gr\/wp-content\/uploads\/2016\/08\/Thoracic-surgery.jpg&#187; alt=&#187;Thoracic-surgery&#187; title_text=&#187;Thoracic-surgery&#187; _builder_version=&#187;4.17.6&#8243; _module_preset=&#187;default&#187; max_width_tablet=&#187;300px&#187; max_width_phone=&#187;&#187; max_width_last_edited=&#187;on|tablet&#187; custom_margin=&#187;|||-8vw|false|false&#187; custom_margin_tablet=&#187;|||0vw|false|false&#187; custom_margin_phone=&#187;&#187; custom_margin_last_edited=&#187;on|tablet&#187; global_colors_info=&#187;{}&#187;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#187;1_2&#8243; _builder_version=&#187;4.16&#8243; _module_preset=&#187;default&#187; custom_padding=&#187;100px||||false|false&#187; custom_padding_tablet=&#187;0px||||false|false&#187; custom_padding_phone=&#187;&#187; custom_padding_last_edited=&#187;on|tablet&#187; global_colors_info=&#187;{}&#187;][et_pb_post_title meta=&#187;off&#187; _builder_version=&#187;4.17.4&#8243; _module_preset=&#187;default&#187; title_font=&#187;Montserrat|700|||||||&#187; title_font_size=&#187;64px&#187; title_line_height=&#187;1.2em&#187; title_font_size_tablet=&#187;50px&#187; title_font_size_phone=&#187;24px&#187; title_font_size_last_edited=&#187;on|desktop&#187; locked=&#187;off&#187; global_colors_info=&#187;{}&#187;][\/et_pb_post_title][et_pb_text _builder_version=&#187;4.18.0&#8243; _module_preset=&#187;default&#187; text_text_color=&#187;#000000&#8243; text_font_size=&#187;16px&#187; text_line_height=&#187;1.8em&#187; text_orientation=&#187;justify&#187; max_width=&#187;600px&#187; module_alignment=&#187;center&#187; text_text_align=&#187;justify&#187; locked=&#187;off&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<div style=\"text-align: left;\">\n<div class=\"gmail_default\">\n<div class=\"gmail_default\">\n<div class=\"gmail_default\"><strong>\u0421\u043a\u043e\u0440\u043e<\/strong><\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#187;4.17.4&#8243; _module_preset=&#187;default&#187; global_colors_info=&#187;{}&#187;][et_pb_column type=&#187;4_4&#8243; _builder_version=&#187;4.17.4&#8243; _module_preset=&#187;default&#187; global_colors_info=&#187;{}&#187;][et_pb_divider color=&#187;#00AFF0&#8243; divider_weight=&#187;3px&#187; _builder_version=&#187;4.17.4&#8243; _module_preset=&#187;default&#187; module_alignment=&#187;center&#187; global_colors_info=&#187;{}&#187;][\/et_pb_divider][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#187;1_2,1_2&#8243; disabled_on=&#187;on|on|on&#187; _builder_version=&#187;4.17.4&#8243; _module_preset=&#187;default&#187; disabled=&#187;on&#187; global_colors_info=&#187;{}&#187;][et_pb_column type=&#187;1_2&#8243; _builder_version=&#187;4.17.4&#8243; _module_preset=&#187;default&#187; global_colors_info=&#187;{}&#187;][et_pb_text _builder_version=&#187;4.17.6&#8243; _module_preset=&#187;default&#187; text_text_color=&#187;#000000&#8243; text_font_size=&#187;16px&#187; text_line_height=&#187;1.8em&#187; text_orientation=&#187;justify&#187; max_width=&#187;600px&#187; module_alignment=&#187;center&#187; text_text_align=&#187;justify&#187; locked=&#187;off&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<div style=\"text-align: left;\">\n<div class=\"gmail_default\">\n<div class=\"gmail_default\">\n<div class=\"gmail_default\">\n<div class=\"gmail_default\">\n<div class=\"gmail_default\">\n<div class=\"gmail_default\">\n<div class=\"gmail_default\">\n<div class=\"gmail_default\"><span style=\"font-family: georgia, serif; font-size: large;\"><b>What does a thoracic surgeon do?<\/b><\/span><\/div>\n<div class=\"gmail_default\">\n<p><span style=\"font-family: georgia, serif; font-size: large;\"><b><br \/><\/b><u>Thoracic surgeons specialize in treating diseases or injuries to the structures of the chest cavity, such as:<\/u><br \/><\/span><\/p>\n<ul>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Heart<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Pericardium (membrane around the heart)<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Coronary arteries, valves and myocardium<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Trachea<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Esophagus<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Lungs<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Membranes around the lungs<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Chest wall<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Diaphragm<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">What conditions does a thoracic surgeon treat?<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Thoracic surgeons treat a variety of conditions, including:<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Heart damage, including coronary heart disease and valvular disease<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Heart transplants<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Lung cancer<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Benign (non-cancerous) lung diseases and lung tumors<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Esophageal cancer<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Gastroesophageal reflux<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Emphysema<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Lung transplants<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Mesothelioma<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Tracheal resection<\/span><\/li>\n<\/ul>\n<\/div>\n<div class=\"gmail_default\"><span style=\"font-family: georgia, serif; font-size: large;\"><br \/><b>Thoracotomy<\/b><\/span><\/div>\n<div class=\"gmail_default\"><span style=\"font-family: georgia, serif; font-size: large;\">Thoracotomy may be performed as follows to treat lung cancer, depending on the type of cancer, its location, and how far it has spread:<\/span><\/div>\n<div class=\"gmail_default\">\n<ul>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Sphincterotomy. A sphincterotomy removes the tumor and tissue surrounding the cancer.<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Segmental resection. Segmental resection removes the tumor, blood vessels, lymphatic drainage, and the part of the lung where the tumor is located.<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Lobectomy. A lobectomy removes the entire lobe of the lung that has cancer, including the lymph nodes.<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Pneumonectomy. A pneumonectomy removes the entire lung with lymph nodes.<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Pleurectomy. A pleurectomy removes the inner lining of the chest cavity.<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Minimally invasive thoracic surgeries<\/span><\/li>\n<\/ul>\n<p><span style=\"font-family: georgia, serif; font-size: large;\"><b><u>Minimally invasive thoracic surgeries that may be performed to treat cancer include<\/u>:<\/b><br \/><\/span><\/p>\n<ul>\n<li><b>Video-assisted thoracic surgery (VATS)<\/b><span>: During thoracoscopic surgery, the surgeon inserts a long, thin tube with an attached camera through a small incision in the chest. This instrument is called a thoracoscope. The operation is performed by the thoracic surgeon through the image provided by the thoracoscope on high-resolution monitors in the operating room.<\/span><\/li>\n<li><b>Robotic thoracic surgery<\/b><span>: Like VATS, robotic thoracic surgery allows the surgeon to see the surgical field through a camera inserted into the chest. The surgeon operates at a console, using controls that translate the surgeon&#8217;s hand, wrist and finger movements into highly precise robotic movements.<\/span><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#187;1_2&#8243; _builder_version=&#187;4.17.4&#8243; _module_preset=&#187;default&#187; global_colors_info=&#187;{}&#187;][et_pb_text _builder_version=&#187;4.17.6&#8243; _module_preset=&#187;default&#187; text_text_color=&#187;#000000&#8243; text_font_size=&#187;16px&#187; text_line_height=&#187;1.8em&#187; text_orientation=&#187;justify&#187; max_width=&#187;600px&#187; module_alignment=&#187;center&#187; text_text_align=&#187;justify&#187; locked=&#187;off&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<div style=\"text-align: left;\">\n<div class=\"gmail_default\">\n<div class=\"gmail_default\">\n<div class=\"gmail_default\">\n<div class=\"gmail_default\">\n<div class=\"gmail_default\">\n<div class=\"gmail_default\">\n<div class=\"gmail_default\">\n<div dir=\"ltr\">\n<div class=\"gmail_default\">\n<div dir=\"ltr\">\n<div class=\"gmail_default\"><span style=\"font-family: georgia, serif; font-size: large;\"><b>Robotic thoracic surgery<\/b><\/span><\/div>\n<div class=\"gmail_default\">\n<p><span>A ne<\/span><span>w era, that of robotic thoracic surgery, began at St Luke&#8217;s, where the first robotically assisted lobectomy with the Da Vinci X system was performed by the team of the thoracic surgeon specialized in minimally invasive and robotic thoracic surgery, Mr. Michalis Klimatsidas. This is the first operation in Greece, Cyprus, and the Balkans with this specific robotic surgery system, but also the first robotic thoracic surgery operation that has ever been performed in Northern Greece by a Greek thoracic surgeon.<\/span><span style=\"font-family: georgia, serif; font-size: large;\"><\/p>\n<p><b>Lung surgery\u00a0<\/b><br \/><u>Lung surgery has made impressive strides in recent years with<\/u>:<br \/><\/span><\/p>\n<ul>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Imaging techniques<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Pain management techniques<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Enhanced Recovery protocols, new tools, new techniques, such as thoracoscopic techniques<\/span><\/li>\n<\/ul>\n<p><span style=\"font-family: georgia, serif; font-size: large;\"><b>The use of the robot in Thoracic surgery<\/b><br \/>Now, operations are actually done through a keyhole, without expanding the sides of the chest, as was the usual technique in the past. For this reason, we now speak of surgery through a keyhole (keyhole surgery aka laparoscopy), which enables us to operate on patients even at the age of 87, if their physical condition allows it.<\/span><\/div>\n<div class=\"gmail_default\"><span style=\"font-family: georgia, serif; font-size: large;\"><br \/><b>Endoscopic thoracic surgery<\/b><br \/>Endoscopic surgery of the chest is called Thoracoscopic surgery or VATS (Video Assisted Thoracic Surgery). In this technique, we use a camera and special long endoscopic tools, which open and close inside the chest so that they can fit into the chest cavity through a small hole. We use a monitor to perform the surgery with spectacular results in the patient&#8217;s recovery. It should be mentioned here that, lately, remote-controlled arms by the surgeon are also used, which are located on the so-called robot, with the surgeon\u00a0all located in the same room and operated from a console, as a result of which we have much more &#171;relaxed&#187; surgeries for the surgeon and precision of movements.<\/span><\/div>\n<div class=\"gmail_default\"><span style=\"font-family: georgia, serif; font-size: large;\">\u00a0<\/span><\/div>\n<p><span style=\"font-family: georgia, serif; font-size: large;\"><b>Advantages of endoscopic thoracic surgery<\/b><\/span><\/div>\n<div dir=\"ltr\">\n<ul>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">15-20x magnification of the surgical field<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Much less pain<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Faster recovery<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Better recovery<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Quick return to everyday life<\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Better aesthetic results<span class=\"gmail_default\">\u00a0(<\/span>since the incision is about 3 cm and practically invisible<span class=\"gmail_default\">)<\/span><\/span><\/li>\n<li><span style=\"font-family: georgia, serif; font-size: large;\">Much less cases of chronic pain.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-family: georgia, serif; font-size: large;\"><b>The biggest advantage, however, is the fact that we can now safely operate on elderly patients, even 85<span class=\"gmail_default\">+<\/span>\u00a0years old, or others who are younger but heavily burdened with other health problems, to whom we previously could not give the opportunity to<span class=\"gmail_default\">\u00a0undergo thoracic surgery<\/span><span class=\"gmail_default\"><\/span>.<\/b><\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#187;1&#8243; 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