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Postoperative Komplikationen in der Thoraxchirurgie

Spezielle Gesichtspunkte

Postoperative complications in thoracic surgery

Special aspects

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Zusammenfassung

Die Thoraxchirurgie ist eine komplikationsträchtige Disziplin. Dies erklärt sich aus der hohen Komorbidität der zumeist älteren Patienten und der unvermeidlichen Traumatisierung des Atemapparates durch den Eingriff selbst. Pneumonie und respiratorische Insuffizienz stellen die häufigste Todesursache dar. Deren frühzeitige Erkennung und Behandlung stehen im Zentrum der postoperativen Betreuung, während sich die meisten anderen Komplikationen mit entsprechender operativer Erfahrung vermeiden lassen.

Abstract

Complications are quite common in thoracic surgery due to the comorbidities of the mostly elderly patients and to the fact that the surgical procedure itself compromises the respiratory apparatus. Consequently, pneumonia and respiratory failure represent the most common causes of death. Postoperatively, early diagnosis and treatment of these complications are paramount while most other events can be anticipated and thus be avoided with corresponding operative experience.

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Correspondence to H. Dienemann.

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Dienemann, H. Postoperative Komplikationen in der Thoraxchirurgie. Chirurg 80, 807–813 (2009). https://doi.org/10.1007/s00104-009-1688-x

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