BENOIT JACQUES BIBAS
Projetos de Pesquisa
Unidades Organizacionais
Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/61 - Laboratório de Pesquisa em Cirurgia Torácica, Hospital das Clínicas, Faculdade de Medicina
LIM/61 - Laboratório de Pesquisa em Cirurgia Torácica, Hospital das Clínicas, Faculdade de Medicina
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- Brazilian airway surgery survey indicates low overall numbers and need for improved teaching skills(2024) BIBAS, Benoit Jacques; MINAMOTO, Helio; CARDOSO, Paulo Francisco G.; CREMONESE, Mariana Rodrigues; PEGO-FERNANDES, Paulo Manuel; TERRA, Ricardo MingariniOBJECTIVES The Brazilian Society of Thoracic Surgeons conducted an online survey to determine the number of surgeons that perform adult and paediatric airway surgery and to understand the practice patterns along the country.METHODS Active members were electronically invited to complete the questionnaire through the REDCapR platform. Invitations were sent from January to April 2020. The survey encompassed 40 questions that explored 4 different topics in the assessment of tracheal diseases: (i) surgeon's demography; (ii) institutional profile, (iii) education and training in laryngo-tracheal surgery and (iv) preoperative and postoperative evaluation.RESULTS Eighty-nine percentage of the responders declared to perform tracheal surgery with a median of 5 tracheal resection procedures per year [interquartile range (IQR) 3-12]. Interaction with other specialties occurs in 37.3% of cases. Access to technology and devices is highly variable across the country. Resident training in airway surgery consists in traditional lectures in 97% of the cases. Training in animals (15.2%), cadavers (12.1%) and simulators (6.1%) are rare. Preoperatory evaluation encompasses flexible bronchoscopy (97.8%) and/or computed tomography (CT) scan of the airways (90.6%). Swallowing (20.1%) and voice (14.4%) disorders are rarely evaluated. Eighty-nine percentage of the surgeons consider bronchoscopy to be the preoperatory gold-standard exam, followed by CT scan (38.8%) and CT-3D reconstruction (37.4%).CONCLUSIONS Brazilian surgeons refer that airway resection and reconstruction are part of their current practice, but the total number of procedures per surgeon per year is low. Access to high-end technology and equipment is heterogenous. Training offered to residents in most academic institutions relies on traditional lectures. Surgery of the trachea is a highly specialized field.
- Tracheobronchial Surgery in Emerging Countries(2022) BIBAS, Benoit Jacques; PEITL-GREGORIO, Paulo Henrique; CREMONESE, Mariana Rodrigues; TERRA, Ricardo Mingarini
bookPart Acessos cirúrgicos para traqueia cervical e torácica(2023) CARDOSO, Paulo F. G.; BIBAS, Benoit Jacques; CREMONESE, Mariana RodriguesbookPart Ressecção subglótica com anastomose tireo-traqueal(2023) BIBAS, Benoit Jacques; MINAMOTO, Hélio; CARDOSO, Paulo F. G.; CREMONESE, Mariana Rodrigues- Hybrid Desobstruction of Blind-end Subglottic Stenosis With Long-term Stenting(2021) CREMONESE, Mariana Rodrigues; BIBAS, Benoit Jacques; MINAMOTO, Helio; PEGO-FERNANDES, Paulo Manuel; CARDOSO, Paulo Francisco GuerreiroBlind-end stenosis (Myer-Cotton IV) is an extreme response to airway injury, resulting in phonatory ablation and dependence on a tracheostomy. A minimally invasive airway desobstruction and stenting can be beneficial in such cases. We present 2 cases of Myer-Cotton IV stenosis that were treated with a minimally invasive desobstruction using a hybrid (endoscopic-surgical) approach followed by the placement of a silicone T-tube. (C) 2021 by The Society of Thoracic Surgeons