{"id":77664,"date":"2017-02-13T10:54:27","date_gmt":"2017-02-13T10:54:27","guid":{"rendered":"http:\/\/humanitasnet-new.local\/cure\/multidisciplinarni-pristup-lechenju-karcinoma-bubrega-i-tromboze\/"},"modified":"2017-02-13T10:54:27","modified_gmt":"2017-02-13T10:54:27","slug":"multidisciplinarni-pristup-lechenju-karcinoma-bubrega-i-tromboze","status":"publish","type":"cure","link":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/treatments\/multidisciplinarni-pristup-lechenju-karcinoma-bubrega-i-tromboze\/","title":{"rendered":"Multidisciplinarni pristup le\u010denju Karcinoma bubrega i tromboze"},"content":{"rendered":"<h1>Multidisciplinarni pristup le\u010denju Karcinoma bubrega i tromboze<\/h1>\n<p>&nbsp;<\/p>\n<p>Napisao: Humantias Vesti 8 Marta 2016 u oblasti Oboljenja i le\u010denje<\/p>\n<p>Radikalna nefrektomija (uklanjanje kompletnog bubrega) uz istovremenu trombektomiju vene kave (uklanjanje okludiraju\u0107eg tromba vene kave) predstavlja standardnu procedure u tretmanu malignog renalnog tumora koji je invadirao renalnu venu \u0161to rezultuje nastankom tumorskog tromba. Humanitas bolnica poseduje multidisciplinarni pristup u le\u010denju ovog stanja kreiranjem kooperativnih medicinskih odeljenja iz razli\u010ditih oblasti medicinskih specijalnosti. Prof. Giorgio Guazzoni (na\u010delnik Urolo\u0161kog odeljenja) po ovom pitanju organizovao je ujedinjenje slede\u0107ih odeljenja: Vaskularne hirurgije, Hepatobilijarne hirurgije, Kardiovaskularne hirurgije, Onkologije, kao Anesteziolo\u0161kog odeljenja i Jedinice za intenzivno le\u010denje. Na ovu temu, razgovarali smo sa urologom Dr. Paolo Casale-om, \u010dlanom medicinskog tima Prof. Guazzoni-ja.<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"koji-je-najadekvatniji-terapeutski-pristup-kod-pacijenata-sa-karcinomom-bubrega-i-tumorskim-trombom\">Koji je najadekvatniji terapeutski pristup \u00a0kod pacijenata sa karcinomom bubrega i tumorskim trombom?<\/h2>\n<p>Kod oko tre\u0107ine pacijenata sa rano dijagnostikovanom bole\u0161\u0107u prisutan je metastatski karcinom bubre\u017enih \u0107elija. Osobina ovih metastatskih promena je ekstremna varijabilnost budu\u0107i\u00a0 das u neretko lokalizovani na atipi\u010dnim mestima kao \u0161to su plu\u0107a i kosti. Tokom rasta, tumor mo\u017ee penetrirati u venu kavu i uve\u0107ati se u vidu tumorskih trombusa koji se pru\u017eaju unutar vene kave. Kod oko 4-10% slu\u010dajeva, istovremeno su renalna i donja vena kava inferior zahva\u0107ene ovim procesom.<\/p>\n<p>Radikalna nefrektomija sa istovremenim uklanjanjem tumorskog trombusa naj\u010de\u0161\u0107e je preporu\u010deni terapeutski pristup. Tokom ove hirur\u0161ke procedure, hirurg uklanja ceo oboleli bubreg, nadbubre\u017enu \u017elezdu, pripadaju\u0107e limfoglandularno tkivo kao i svaki trombus koji je doprineo za\u010depljenju (opstrukciji)\u00a0 krvnog suda. \u2018\u2019 Ekstenzivnost same hirur\u0161ke intervencije \u2013 navodi Dr.Cassale \u2013 zahteva da operativni tretman bude sproveden u visokospecijalizovanoj ustanovi. Tako\u0111e podrazumeva upotrebu naprednih tehnolo\u0161kih sredstava i visoku stru\u010dnost u hirur\u0161kom pristupu odgovaraju\u0107e specijalnosti. Pod ovim tipom multidisciplinarne saradnje podrazumeva se izuzetna kooperacija i stru\u010dnost\u00a0 medicinskih stru\u010dnjaka iz razli\u010ditih grana medicine.\u00a0 Neophodno je da pacijent tokom svih kriti\u010dnih faza samog le\u010denja i postoperatinog toka, bude pod visokim nadzorom u bolni\u010dkim uslovima.\u2019\u2019 U Humanitas, radikalnu nefrektomiju sa trombektomijom pripadaju\u0107e vene kave izvodi Urolo\u0161ki tim pod vo\u0111stvom Prof. Giorgio Guazzoni-jem, uz asistenciju Vaskularnog, Hepatobilijarnog, Kardiovaskularnog, Nefrolo\u0161kog, Onkolo\u0161kog odeljenja kao i jedinice za Intenzivno le\u010denje sa Anesteziologijom.<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-77664","cure","type-cure","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Multidisciplinarni pristup le\u010denju Karcinoma bubrega i tromboze - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"sr_RS\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Multidisciplinarni pristup le\u010denju Karcinoma bubrega i tromboze - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Multidisciplinarni pristup le\u010denju Karcinoma bubrega i tromboze &nbsp; Napisao: Humantias Vesti 8 Marta 2016 u oblasti Oboljenja i le\u010denje Radikalna nefrektomija (uklanjanje kompletnog bubrega) uz istovremenu trombektomiju vene kave (uklanjanje okludiraju\u0107eg tromba vene kave) predstavlja standardnu procedure u tretmanu malignog renalnog tumora koji je invadirao renalnu venu \u0161to rezultuje nastankom tumorskog tromba. 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