UKC Republic of Srpska – Operacija primarnog spontanog pneumotoraksa VATS metodom

U Klinici za torakalnu hirurgiju 04.07.2011. prvi put je urađena operacija primarnog class="normal_logo" /> class="_mi dashicons dashicons-admin-home" aria-hidden="true" style="font-size:1.8em;">Home fusion-dropdown-menu">Information href="https://www.kc-bl.com/En/?page_id=97">About Us href="http://kc-bl.com/En/">Mission, Vision and Values href="https://www.kc-bl.com/En/?page_id=130">Video about us href="https://www.kc-bl.com/En/?page_id=194">Photo gallery href="https://www.kc-bl.com/En/?page_id=2065">Management href="https://www.kc-bl.com/En/?page_id=1726">Organizational shema href="https://www.kc-bl.com/En/?page_id=1691">Monograph fusion-dropdown-menu">Clinics href="https://www.kc-bl.com/En/?page_id=1768">Internal medicine clinic href="https://www.kc-bl.com/En/?page_id=1800">Clinic of Cardiovascular Diseases href="https://www.kc-bl.com/En/?page_id=1810">Lung Clinic href="https://www.kc-bl.com/En/?page_id=1817">Paediatric Clinic href="https://www.kc-bl.com/En/?page_id=1822">Clinic of General and Abdominal Surgery href="https://www.kc-bl.com/En/?page_id=1834">Clinic of Urology href="https://www.kc-bl.com/En/?page_id=1840">Clinic of Pediatric Surgery href="https://www.kc-bl.com/En/?page_id=1850">Clinic of Thoracic Surgery href="https://www.kc-bl.com/En/?page_id=1855">Vascular Surgery Clinic href="https://www.kc-bl.com/En/?page_id=1860">Clinic of Plastic and Reconstructive Surgery href="https://www.kc-bl.com/En/?page_id=1866">Neurosurgery Clinic href="https://www.kc-bl.com/En/?page_id=1871">Clinic of Gynecology and Obstetrics href="https://www.kc-bl.com/En/?page_id=1876">Infectious Diseases Clinic href="https://www.kc-bl.com/En/?page_id=1882">Clinic of Neurology href="https://www.kc-bl.com/En/?page_id=1887">Psychiatric Clinic href="https://www.kc-bl.com/En/?page_id=1892">Skin and Venereal Diseases Clinic href="https://www.kc-bl.com/En/?page_id=1897">Oncology Clinic href="https://www.kc-bl.com/En/?page_id=1902">Clinic for Anaesthesiology and Intensive Care href="https://www.kc-bl.com/En/?page_id=2246">Ophtalmology Clinic href="https://www.kc-bl.com/En/?page_id=2277">ENT Clinic href="https://www.kc-bl.com/En/?page_id=2283">Maxillofacial Surgery Clinic href="https://www.kc-bl.com/En/?page_id=2288">Centre for radiotherapy href="https://www.kc-bl.com/En/?page_id=2294">Orthopaedic Clinic href="https://www.kc-bl.com/En/?page_id=2298">Clinic of Traumatology fusion-dropdown-menu">Institutes href="https://www.kc-bl.com/En/?page_id=1958">Institute of Nuclear Medicine and Thyroid Gland Disease href="https://www.kc-bl.com/En/?page_id=1964">Department of medical supplies and pharmacy KC href="https://www.kc-bl.com/En/?page_id=1974">Institute of Clinical Radiology fusion-dropdown-submenu">Institute of Pathology om/En/docs/procedure/Zavodiprocedure/03ZavodZaPatologiju.pdf">Diagnostic and therapeutic procedures href="https://www.kc-bl.com/En/?page_id=1985">Institute of Laboratory Diagnostic href="https://www.kc-bl.com/En/?page_id=1989">Institute of Microbiology fusion-dropdown-menu">Departments href="https://www.kc-bl.com/En/?page_id=2015">Department of Operation Theatres and Sterilization href="https://www.kc-bl.com/En/?page_id=2019">Department of General and Legal Affairs href="https://www.kc-bl.com/En/?page_id=2023">Department of Economic and Financial Affairs href="https://www.kc-bl.com/En/?page_id=2027">Department of Service Activities href="https://www.kc-bl.com/En/?page_id=2031">Internal Audit Department href="https://www.kc-bl.com/En/?page_id=2348">Department of Public Procurement and Market Research href="https://www.kc-bl.com/En/?page_id=2358">Department of Organizing the Provision of Health Care Services and Hygiene Maintenance href="https://www.kc-bl.com/En/?page_id=2378">Department of Intensive Care Medicine fusion-dropdown-menu">Treatment href="https://www.kc-bl.com/En/?page_id=5744">Institutional treatment href="https://www.kc-bl.com/En/?page_id=5748">Commercial treatment current-post-parent menu-item-1907">News fusion-dropdown-menu">Reconstruction href="https://www.kc-bl.com/En/?page_id=2238">South Wing href="https://www.kc-bl.com/En/?page_id=3534">South Wing gallery fusion-dropdown-submenu">Reconstruction and equipping of CMB href="http://www.kc-bl.com/En/docs/Rekonstrukcija/ReconstructionCMB.pdf">Team for monitoring the implementation of the project of reconstruction and equipping UB KC BL fusion-dropdown-menu">Education href="https://www.kc-bl.com/En/?page_id=1696">Education in Korea href="https://www.kc-bl.com/En/?page_id=5959">Useful documents fusion-dropdown-menu">Associations and Committees href="https://www.kc-bl.com/En/?page_id=5827">Ethics Committee fusion-dropdown-submenu">Sport association CC c-bl.com/En/?page_id=3525">Photo gallery n> spontanog pneumotoraksa VATS metodom ( Video Assisted Thoracoscopic Surgery) tj. endoskopska resekcija vrha pluća sa abrazijom pleure. Pacijent, 16-godišnjak Š.M. primljen je 01.07.2011. sa kliničkom i radiološkom slikom kompletnog spontanog pneumotoraksa. Po prijemu plasiran torakalni dren u desno prsište, a kontrolna radiografija pokaže ne postojanje reekspanzije pluća te se indikuje operativni tretman.

Zahvat je obavljen endoskopski uz pomoć VATS tehnologije koja pored kamere sa hladnim svjetlom podrazumjeva i korištenje Endo Stapling & Cuting uređaja tj. mehaničkog šava za primjenu u endoskopskoj hirurgiji pluća. Šef tima i operater bio je načelnik Klinike za torakalnu hirurgiju Doc.dr D.Janičić, asistenti dr M.Kantar i dr D.Pejić, anesteziolog dr N.Škorić a instrumentarka B.Bojić. Pacijent je 14.07.2011. otpušten kući u dobrom opštem stanju i sa potpuno reekspandiranim desnim plućem.
Pored tehnologije važan aspekt VATS-a je i trening hirurga i obuka cijelog tima koji učestvuje u operaciji. U savladavanju vještina torakoskopskih procedura pomogao je i boravak hirurga Klinike za torakalnu hirurgiju u istraživačkom centru Covidien, Elancourt Paris, u februaru 2011. pod pokroviteljstvom Kliničkog centra Banja Luka, a u organizaciji ESTS –a ( European Society of Thoracic Surgons) gdje su naši ljekari pored teoretskih znanja usvajali i praktična, treningom na eksperimentalnim životinjama.
Primjena VATS-a u Klinici za torakalnu hirurgiju Kliničkog centra Banja Luka počela je 2008.godine i do sada je bila ograničena na biopsije, eksploracije kao uvod u torakotomiju, a ovim zahvatom su otvorena vrata minimalno invazivnoj resekcionoj hirurgiji pluća.
Takođe, od ove godine je u Klinici za torakalnu hirurgiju uvedena i operacija simpatičkog lanca kod osoba sa primarnom hiperhidrozom tj. prekomjernim znojenjem. Posebno interesantan aspekt za osiguranike Republike Srpske je i to što su VATS operacije pneumotoraksa i simpatektomije u svim drugim centrima operacije komercijalnog tipa tj. pacijent snosi sve troškove liječenja, dok u Klinici za torakalnu hirurgiju Kliničkog centra Banja Luka osiguranik snosi samo troškove participacije .

20/07/2011|