Những cân nhắc an toàn cho Nhân viên y tế tham gia Phẫu thuật cắt bỏ tế bào và Hóa trị liệu trong thời kỳ phẫu thuật

Springer Science and Business Media LLC - Tập 7 - Trang 249-257 - 2016
Aditi Bhatt1, Sourabh Mittal1, K. S. Gopinath2
1Department of Surgical Oncology, Fortis Hospital, Bangalore, India
2Department of Surgical Oncology, HCG Bangalore Institute of Oncology, Bangalore, India

Tóm tắt

Phương pháp điều trị kết hợp phẫu thuật cắt bỏ tế bào (CRS) và hóa trị liệu tại chỗ trong điều kiện nhiệt độ cao (HIPEC) đã được chấp nhận rộng rãi trên toàn thế giới để quản lý những bệnh nhân đã chọn bị di căn bụng từ nhiều loại ung thư khác nhau. Phẫu thuật cắt bỏ tế bào được thực hiện với mục tiêu loại bỏ hoàn toàn bệnh lý có thể nhìn thấy và kết hợp với hóa trị liệu trong thời kỳ phẫu thuật (POC) dưới dạng HIPEC có hoặc không có EPIC (hóa trị liệu tại chỗ sớm sau phẫu thuật) nhằm xử lý bệnh lý vi thể còn sót lại. Những phương pháp điều trị này liên quan đến việc sử dụng các loại thuốc gây độc tế bào trong phòng mổ hoặc tại đơn vị chăm sóc đặc biệt, nơi mà chúng thường không được sử dụng, và làm cho nhân viên y tế tham gia vào việc điều trị có nguy cơ tiếp xúc với các chất độc. CRS được thực hiện với dụng cụ điện cao áp tạo ra một lượng lớn khói phẫu thuật, được hít vào bởi những nhân viên liên quan và có thể gây ra các mối nguy về sức khỏe. Bài báo này đề cập đến các biện pháp an toàn cần thực hiện trong quá trình thực hiện CRS và POC.

Từ khóa

#Phẫu thuật cắt bỏ tế bào #hóa trị liệu tại chỗ trong điều kiện nhiệt độ cao #di căn bụng #biện pháp an toàn #nhân viên y tế

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