Horan Thomas A, Pinheiro Petrúcia M, Araújo Luis M, Santiago Flávia F, Rodrigues Monica R
Division of Thoracic Surgery, Hospital SARAH, Brasília, Distrito Federal, Brazil.
Ann Thorac Surg. 2002 May;73(5):1647-9. doi: 10.1016/s0003-4975(01)03371-9.
The locaization of pulmonary nodules by the hook wire technique has allowed accurate resection of small and nonsuperficial pulmonary nodules by video-assisted thoracoscopic surgery. Hook wire localization has been shown efficacious and safe with principal complications limited to pneumothorax, wire dislocation, and localized intrapulmonary hemorrhage. We report a case of massive gas embolism complicating this procedure. The probable causative mechanisms and possible methods for avoidance are discussed.
通过钩丝技术对肺结节进行定位，使得电视辅助胸腔镜手术能够准确切除小的、非浅表性肺结节。钩丝定位已被证明是有效且安全的，主要并发症仅限于气胸、钢丝移位和局限性肺内出血。我们报告了1例该操作并发大量气体栓塞的病例。文中讨论了可能的致病机制和避免方法。
