Karajiannis A, Krueger T, Stauffer E, Ris H
Department of Thoracic and Cardiovascular Surgery, University Hospital of Bern, Bern, Switzerland.
Eur J Cardiothorac Surg. 2000 Jun;17(6):754-6. doi: 10.1016/s1010-7940(00)00447-4.
Large thoracic duct cysts are rare and standard lateral thoracotomy is usually used for resection. In the reported case the combination of an antero-lateral thoracotomy with a partial longitudinal median sternotomy (hemiclamshell approach) allowed an excellent visualization and dissection of a large thoracic duct cyst expanding in the anterior cervico-thoracic junction, and was associated with an uncomplicated recovery.
巨大胸导管囊肿罕见,标准的侧胸壁切开术通常用于切除。在该报道病例中,前外侧胸壁切开术联合部分纵向正中胸骨切开术(半蛤壳式入路)能够很好地显露并切除位于颈胸交界前方的巨大胸导管囊肿,且术后恢复顺利。