La Circolazione Extracorporea in chirurgia non cardiaca. Esperienza della Clinica Universitaria di Navarra.

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COD: 06_2009_453-458 Categorie: ,

Stefano Mastrobuoni*, S. Martin Algarra, AM. Dell’Aquila, J. Herreros

Ann. Ital. Chir., 2009; 80: 453-457

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AIM: Analyse the use of the Extra-Corporeal Circulation (ECC) in no-cardiac operations at the Clinica Universidad de
Navarra
MATERIAL OF STUDY: Between 1985 and 2009, the ECC has been involved in 28 operations for retroperitoneal tumour
with inferior vena cava thrombus, in 43 isolated hyperthermic perfusion of a limb for locally advanced cancer and in
8 cases of chest mass with invasion of the pulmonary veins or bronchial carina.
RESULTS: The intraoperative mortality for renal cancer has been of 7% while the 28% of patients showed a major complication.
None patient died for the isolated hyperthermic perfusion and the 81% showed no toxicity. 1 patient out of
8 for chest mass died during the surgery for impossibility of weaning from the ECC.
DISCUSSION: the ECC has been utilised in our experience mostly in cases of advanced cancer. It is an aggressive technique
with a certain rate of complications. Nevertheless mid- and long-term results are encouraging.
CONCLUSION: The ECC is the only technique in some advanced cancer in order to safely perform the mass removal.
The precise co-ordination of the team is necessary to reduce the complication rate.