ACORP V-3LA DRIVER DETAILS:
|File Size:||18.2 MB|
|Supported systems:||ALL Windows 32x/64x|
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ACORP V-3LA DRIVER
Acorp V-3LA Complete resection in healthy tissue may be compromised due to the proximity of the tumors to vital organs [1, 2]. Multimodality approach with combination of both chemotherapy and radiotherapy may downstage some patients with locally advanced pul- monary cancer.
In addition, progress in anesthesia coupled with improved surgical techniques has helped re- define the limits of resection . In highly selected pa- tients with specific anatomic conditions, complete R0 resection for locally advanced tumor has been reported with prolonged survival and, on occasion, resulted in cure [4—6]. Conventional techniques frequently do not allow for complete resection of advanced pulmonary tumors in- vading the heart Acorp V-3LA great vessels. Complex cardiac resec- tions or reconstructions, replacement of the thoracic aorta, or the common pulmonary artery can only be approached with cardiac arrest and total circulatory sup- port by standard cardio-pulmonary bypass CPB [7—10]. In contrast, for tracheo-bronchial surgery or single lung situations, hemodynamic stability or cardiac arrest is not mandatory .
Extracorporeal membrane oxygenation ECMO is a well- established technique for the management of respiratory or hemodynamic disturbance during lung transplantation .
ACORP Video — Drivers Guide
Intra-operative use of veno-venous VV or Acorp V-3LA arterial VA ECMO allows good oxygenation in addition to removal of CO2 and may provide a complete ventilator support to complete tracheo-bronchial surgery or patient with single lung or presenting lung failure [13—18]. Technological advances in pumps, cannulae, and oxygena- tors and growing experience for thoracic surgeon during lung transplantation have led to the use of ECMO during conventional thoracic surgical procedure [13, 14].
Actu- ally, ECMO experience for pulmonary resection is limited to the description of clinical cases without real agreement . Rosskopfova et al.
World Journal of Surgical Oncology The aim of this review is to re- port current experience of the different extracorporeal device available for the thoracic surgeon and clarify the different indications. Comp lex cardiac re- sections or reconstructions, replacement of the thoracic aorta, Acorp V-3LA the common pulmonary artery can only be approached with a standard circulatory support by CPB. Few authors have reported their experience of resection of lung cancer with CPB [8, 22—28].
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