Thoracic Surgery
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Codi servei:
Recerca:
This service collaborates in both national and international research projects. Hence, it forms part of:
- The database of thoracic surgery complications initiated by the Spanish Society of Thoracic Surgery
- The database of neuroendocrine tumours and the database of pulmonary metastasis of colon and rectum cancer initiated by the Spanish Society of Pneumology and Thoracic Surgery
- The database of the new Tumor Node and Metastasis (TNM) 2016 of the International Association for Study of Lung Cancer
The service also has a tissue bank (biobank) where samples of lung tissue are stored, and shortly it will have tumoural lung tissue for future studies.
Presentation:
Tipus Servei: 2
Correu: cirtoracica.germanstrias@gencat.cat
Docència:
Undergraduate teaching
Professionals of the Thoracic Surgery Service give classes in this speciality within the subject of Medicine and Surgery I, of the 4th year of Medicine of the Medical School of the Universitat Autònoma de Barcelona at the Can Ruti Campus.
Postgraduate teaching
The service trains resident doctors both in Thoracic Surgery and other specialities, who need to acquire certain knowledge on this type of surgery to complete their training.
Residents 2022
It also takes in resident doctors from other hospitals, of which the service is a reference, basically from Hospital de Mataró.
Medical team
Pedro Enrique López de Castro Alujes
Head of Service
Carlos Martínez Barenys
Surgery specialist
Surgery specialist
Surgery specialist
Nursing team
Esther Roca Amatria
Hospital nurse supervisor
Estel Font Pujol
Office nurse supervisor
Francisca Diaz Manzano
Office nursing team
Multidisciplinary study of lung cancer in the framework of the hospital tumour committee, which groups the different specialists related to the diagnosis and treatment of this cancer at a weekly meeting to discuss cases, to offer each patient the best treatment. In this sense, the Thoracic Surgery Service applies various surgical techniques.
Different types of cancer (colorectal, breast, melanoma, hypernephroma... could lead to pulmonary metastases during its evolution. The Thoracic Surgery Service performs resections of pulmonary metastases.
It basically includes the correction of pectus excavatum (through the modified Ravitch technique) and pectus carinatum.
Surgical treatment of both primary and secondary pneumothorax using minimally invasive techniques (video-assisted thoracoscopy).
Pleural effusion, meaning the presence of fluid in the pleura, could have many origins. The main ones are infections or neoplastic diseases. The majority of cases can be solved by placing a pleural draining system Surgery can be used in these cases to achieve the final diagnosis, or treatment.
Hyperhidrosis is defined as excessive sweating in certain parts of the body, which are basically: hands, underarms and feet. With minor surgery under general anaesthetic, but under the Major Ambulatory Surgery system, the sympathetic nerve is sectioned or clipped at the required level, to reduce excessive sweating. Thoracic surgery does facial flushing treatment and hyperhidrosis of the head, hands and underarms.
The mediastinum is the central area of the thorax and is divided into three compartments: anterior, centre and posterior. The appearance of tumours in this area is rare, but some types are susceptible to surgical treatment, including: thymus cancer, associated or not associated to myasthenia gravis; endothoracic goiter, which is usually treated by the General and Digestive Surgery Service; teratomes; cysts and neurogenic tumours.
The airway (respiratory) can be affected by tumours or inflammatory injuries, basically systemic inflammatory diseases, or prolonged intubation in intensive care units. The service provides a varied number of treatments depending on the type of pathology, location, dimensions... They can be minimally invasive using endoscopic techniques with rigid bronchoscopy, or surgical, such as tracheotomy or an injury resection.
Thoracic traumas are caused chiefly by road accidents or occupational accidents. The service treats from simple costal fractures as a result of an accidental fall, to injuries of the internal organs of the thorax requiring urgent surgery. Treatment should be individualized in each case.
Lung cancer
Lung cancer is the tumour that causes most deaths in the world from cancer. Smoking is the main risk for its development.
A routine examination could detect a pulmonary nodule, in which case a more extensive study is carried out, as not all pulmonary nodules are carcenogenic.
In the event that patients have symptoms such as a cough, pain, bleeding or shortness of breath, the service has diagnosis and staging test equipment, which help to classify the tumour in order to provide the best treatment.
The treatment of lung cancer should be individualized in each case. The Thoracic Surgery Service can provide surgical treatment, chemotherapy and radiotherapy, or a combination of all three.
In surgical treatment, the service is starting minimally invasive surgery of lung cancer, by means of a small incision of 4 - 5 cm from the axilla using endoscopic techniques. However, these techniques cannot always be applied to all patients, and in various cases, surgical treatment is still done with an incision in the back.
Thoracic wall deformities
Deformities of the thoracic wall cover a wide range of diseases, which have some disorders in common in the development of morphology of the thorax. They may be congenital (from birth) or acquired (appearing after infections, previous surgery...).
As the range is so wide, there may be anomalies that go unobserved, and which therefore do not require any type of treatment. There may be others that cause some type of aesthetic or functional defect, that do require treatment. In spite of this, not all cases require surgical treatment.
The most widely treated pathologies by the service are pectus excavatum and pectus carinatum.
Pectus excavatum causes a sunken appearance of the sternum, which if very evident, can be treated surgically. The Thoracic Surgery Services uses the modified Ravitch technique, which consists of a vertical incision at the level of the sternum, with resection (extraction of a part) of the affected costal cartilage, and then fixation with titanium bars or stitches.
Pectus carinatum, on the other hand, is a protrusion of the costal cartilage or sternum, and the surgical technique consists of resectioning them.
This service collaborates in both national and international research projects. Hence, it forms part of:
- The database of thoracic surgery complications initiated by the Spanish Society of Thoracic Surgery
- The database of neuroendocrine tumours and the database of pulmonary metastasis of colon and rectum cancer initiated by the Spanish Society of Pneumology and Thoracic Surgery
- The database of the new Tumor Node and Metastasis (TNM) 2016 of the International Association for Study of Lung Cancer
The service also has a tissue bank (biobank) where samples of lung tissue are stored, and shortly it will have tumoural lung tissue for future studies.
Undergraduate teaching
Professionals of the Thoracic Surgery Service give classes in this speciality within the subject of Medicine and Surgery I, of the 4th year of Medicine of the Medical School of the Universitat Autònoma de Barcelona at the Can Ruti Campus.
Postgraduate teaching
The service trains resident doctors both in Thoracic Surgery and other specialities, who need to acquire certain knowledge on this type of surgery to complete their training.
Residents 2022
It also takes in resident doctors from other hospitals, of which the service is a reference, basically from Hospital de Mataró.
Contacte: cirtoracica.germanstrias@gencat.cat