Yamasaki Aya, Omori Megumi, Hanazaki Motohiko, Murakami Fumitaka, Takaya Tetsuo, Shimoda Yutaka, Tanaka Toshiaki
Department of Anesthesiology, Okayama Rosai Hospital, Okayama 702-8055.
Masui. 2010 Nov;59(11):1400-4.
In our hospital, a new mode of operation was introduced in pleuropneumonectomy from 2004. We studied how these changes had affected postoperative management of patients after pleuropneumonectomy.
We retrospectively reviewed 22 patients who had undergone pleuropneumonectomy for malignant pleural mesothelioma from 2001 to 2008. They were divided into two groups; those before 2003 (n = 6) and those after 2004 (n = 16).
After 2004, the amount of infusion, amount of blood transfusion and bleeding until POD1 were less, and the amount of urine output was more than that before 2003. But no significant complications were observed.
The new mode of operation produced great improvement in immediate postoperative management. It is necessary to investigate if the new mode of operation improved prognosis and prevented perioperative complications.
2004年起，我院在全肺胸膜切除术引入了一种新的手术模式。我们研究了这些改变如何影响全肺胸膜切除术后患者的术后管理。
我们回顾性分析了2001年至2008年间因恶性胸膜间皮瘤接受全肺胸膜切除术的22例患者。他们被分为两组，2003年以前的患者（n = 6）和2004年以后的患者（n = 16）。
2004年以后，术后第1天的输液量、输血量和出血量减少，尿量多于2003年以前。但未观察到明显并发症。
新的手术模式在术后即刻管理方面有很大改善。有必要研究新的手术模式是否改善了预后并预防了围手术期并发症。
