Kutlu Cemal Asim, Olgac Guven
Department of Thoracic Surgery, Sureyyapasa Chest and Cardiovascular Diseases Teaching and Research Hospital, Istanbul, Turkey.
Eur J Cardiothorac Surg. 2006 Dec;30(6):943-4. doi: 10.1016/j.ejcts.2006.09.015. Epub 2006 Oct 18.
Lobar torsion is reported as very rare but sometimes catastrophic complication if overlooked during the early postoperative period following a lobectomy, though it is totally preventable. In this novel technique, a piece of parietal pleural flap is harvested from the posterior wall of the chest using a hook diathermy while keeping its upper border as close to the apex as possible. Finally, distal end of the flap is secured to the upper edge of the lobe using a fine monofilament absorbable suture. This procedure not only protects the lobe from rotation but also maintains continuous expansion of the lung in the early postoperative period and may, therefore, be a good option to prevent such a serious complication in selected patients following a lobectomy.
据报道，肺叶扭转非常罕见，但如果在肺叶切除术后的早期被忽视，有时会成为灾难性的并发症，尽管它是完全可以预防的。在这项新技术中，使用钩形电刀从胸后壁获取一块壁层胸膜瓣，同时使其上缘尽可能靠近肺尖。最后，用一根细的单丝可吸收缝线将瓣的远端固定在肺叶的上缘。该手术不仅可防止肺叶扭转，还能在术后早期维持肺的持续扩张，因此，对于预防肺叶切除术后特定患者的这种严重并发症可能是一个不错的选择。
