Department of Thoracic and Cardiovascular Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, South Korea.
Eur J Cardiothorac Surg. 2012 Sep;42(3):582-3. doi: 10.1093/ejcts/ezs214. Epub 2012 May 2.
After pulmonary resection, lobar torsion is a rare but potentially serious complication. The reported occurrence rate is 0.089-0.3%. Generally, management for this condition is exploration through 'open technique' thoracotomy with the resection of the affected lobe. A 68-year old male was diagnosed with right middle lobe torsion 1 day after a video-assisted thoracoscopic (VATS) right upper lobectomy. A second VATS right middle lobectomy was successfully performed through the same incisions. The careful follow-up and the prompt detection of lobar torsion using the VATS approach lead to a satisfactory outcome.
肺切除术后，肺叶扭转是一种罕见但潜在严重的并发症。据报道，其发生率为 0.089-0.3%。一般来说，这种情况的治疗方法是通过“开放式”开胸手术进行探查，并切除受影响的肺叶。一名 68 岁男性在接受电视辅助胸腔镜（VATS）右上肺叶切除术 1 天后被诊断为右中叶扭转。通过相同的切口成功地进行了第二次 VATS 右中叶切除术。仔细的随访和及时发现 VATS 方法中的肺叶扭转导致了满意的结果。
