Specjaliści ze szpitala im. Kopernika w Łodzi wykonali pierwszy w regionie zabieg mikrozespoleń naczyń żylno-limfatycznych, wykorzystując do tego obrazowanie fluorescencyjne. Dzięki wykorzystaniu tej metody, szansę na nowy sposób leczenia otrzymają pacjenci onkologiczni.
Zabieg został wykonany u pacjentki, u której w wyniku czerniaka zostały usunięte węzły chłonne w okolicy pachwiny. Na skutek tego, doszło do obrzęku limfatycznego nogi. Zabieg mikrozespoleń żylno-limfatycznych z użyciem obrazowania fluorescencyjnego został przeprowadzony w kilku miejscach na kończynie. To pozwoliło na przywrócenie prawidłowego odprowadzania chłonki, tak by uniknąć ponownego przedostania jej do układu krążenia.
– Liczymy, że dzięki zabiegowi obrzęk ustąpi w znacznym stopniu, co wiąże się ze wzrostem komfortu życia dla pacjentki. Trudność polegała na tym, że struktury, jakie łączyliśmy – drobne naczynia żylne i limfatyczne – mają średnicę części milimetra – od 0,4 do 1 mm – tłumaczy chirurg dr Dominik Walczak.
Specjaliści do zabiegu użyli specjalnego mikroskopu, który powiększa obraz dwudziestokrotnie oraz narzędzi chirurgicznych, takich jak igły i nici, o średnicy mniejszej niż średnica włosa. Wykorzystane obrazowanie fluorescencyjne z wykorzystaniem zieleni indocyjaninowej miało na celu zabarwić i zwizualizować bezbarwne naczynia chłonne i płynącą w nich limfę. Preparat, który został wstrzyknięty w odpowiednie miejsca kończyny oraz odpowiedni sprzęt umożliwiły analizę na ekranie monitora.
– Dużą zaletą zespoleń żylno-limfatycznych jest to, że pacjent już następnego dnia może wyjść do domu – dodał dr Walczak.
Tego rodzaju zabiegi były wykonywane już w różnych rejonach świata
Jak podkreślił kierownik Oddziału Chirurgii Onkologicznej w szpitalu im. Kopernika dr Michał Lewandowicz, leczenie rekonstrukcyjne jest ważną częścią terapii onkologicznej i integralnym elementem zdrowienia pacjenta po przebytym nowotworze. Dodał również, iż najlepsze efekty tej operacji można osiągnąć dzięki technikom z użyciem własnych tkanek pacjenta.
– Rozwój chirurgii, który skłania się do coraz mniejszej inwazyjności zabiegów, łączy się z chirurgią wideoskopową i operacjami mikrochirurgicznymi, stanowi ogromną korzyść dla naszych pacjentów. Dzięki temu leczenie jest dużo bezpieczniejsze, szybsze, a rekonwalescencja następuje prędzej – zaznaczył dr Lewandowicz.
Źródło: PAP
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