Chirurgie der Trachea

Zusammenfassung

Die Chirurgie der Trachea ist ein Spezialgebiet, in dem aufgrund der Vielzahl von Indikationen und der erweiterten Topografie viele Disziplinen gemeinsam tätig sind. Nicht nur wegen der besonderen funktionellen Bedeutung, sondern auch wegen seiner komplexen Morphologie, Anatomie und Physiologie stellt dieses Organ eine besondere therapeutische Herausforderung dar. Eine Vielzahl von Krankheiten erfordert chirurgische Eingriffe der Trachea – sowohl die Krankheit selbst als auch patientenabhängige Parameter beeinflussen die therapeutische Strategie. Unabhängig von der Art der zugrunde liegenden Erkrankung erfordert es eine hohe Expertise im Luftwegmanagement, eine sorgfältige Diagnose und interventionelle Planung sowie ein erfahrenes OP-Team mit Beherrschung der erweiterten Operationstechniken, um gute Ergebnisse zu erzielen. Zur optimalen Therapieentscheidung ist immer eine multidisziplinäre Bewertung der individuellen Situation durch den interventionellen Pneumologen, den Thoraxchirurgen, den Viszeralchirurgen, HNO-Chirurgen und Anästhesisten erforderlich.

Abstract

Surgery of the trachea is a specialised field in which many disciplines work jointly due to the variety of indications and the extended topography. Not only because of its particular functional importance, but also because of its complex morphology, anatomy and physiology, this organ represents a special therapeutic challenge. A variety of diseases require surgical procedures of the trachea; the therapeutic strategy is influenced both by the disease itself as well as patient-dependent parameters. Regardless of the nature of the underlying disorder, good results require a high level of expertise in airway management, a careful diagnosis and interventional planning as well as an experienced surgical team that masters extended operative techniques. An optimal treatment decision always requires a multidisciplinary assessment of the patientʼs individual situation by interventional pulmonologists, thoracic surgeons, visceral surgeons, ENT (ear, nose and throat) surgeons and anaesthesiologists.

Schlüsselwörter

Trachearesektion - Tracheastenose - Tracheatumor - Tracheachirurgie

Key words

tracheal tumour - tracheal stenosis - tracheal resection - tracheal surgery

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