Andou A, Shigematsu H, Higashi R
Department of Chest Surgery, Okayama Medical Center, Okayama, Japan.
Kyobu Geka. 2011 Apr;64(4):305-10.
Thoracoscopic surgery under epidural and local anesthesia for intractable pneumothorax were performed in 26 patients. A total of 29 thoracoscopic operation were performed in 26 patients. Twenty-three patients undervent only a single thoracoscopic operation, and 3 patients underwent twice thoracoscopic operations. We could control the air leak of intractable pneumothorax with the covering of polyglycolic acid sheets using aerosolized fibrin glue in 25 patients. In all patients postoperative course was uneventful and there was no operative death.
26例难治性气胸患者在硬膜外麻醉和局部麻醉下接受了胸腔镜手术。26例患者共进行了29次胸腔镜手术。23例患者仅接受了一次胸腔镜手术，3例患者接受了两次胸腔镜手术。我们使用雾化纤维蛋白胶覆盖聚乙醇酸片，控制了25例难治性气胸患者的漏气。所有患者术后恢复顺利，无手术死亡。
