Kanai Yoshihiko, Endo Shunsuke, Tetsuka Kenji, Yamamoto Shinichi
Department of General Thoracic Surgery, Jichi Medical University and Saitama Medical Center, Tochigi, Japan.
Interact Cardiovasc Thorac Surg. 2012 Mar;14(3):345-6. doi: 10.1093/icvts/ivr118. Epub 2011 Dec 18.
Reinforced endostapling can prevent postoperative air leakage from surgical stumps. We herein present a 58-year old woman with idiopathic interstitial pneumonia who developed lethal haemothorax after a thoracoscopic lung biopsy with the use of an endostapler preloaded with bioabsorbable tissue reinforcement material. This lethal haemothorax, which occurred on the day after the lung biopsy, required an emergency operation. The bleeding point was an intercostal artery of the inferior chest wall adjacent to the surgical stump. The operative findings suggested that the reinforced material on the surgical stump scratched the chest wall through respiratory movement.
加强型腔内吻合器可防止手术残端术后漏气。我们在此报告一名58岁的特发性间质性肺炎女性患者，在使用预装生物可吸收组织强化材料的腔内吻合器进行胸腔镜肺活检后发生致命性血胸。这种致命性血胸发生在肺活检后的第二天，需要进行紧急手术。出血点是手术残端附近下胸壁的肋间动脉。手术所见提示手术残端上的强化材料通过呼吸运动刮伤了胸壁。
