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本文引用的文献

1
Use of tissue expanders in adult postpneumonectomy syndrome.组织扩张器在成人肺切除术后综合征中的应用。
J Thorac Cardiovasc Surg. 2007 Sep;134(3):608-12. doi: 10.1016/j.jtcvs.2007.05.014.
2
Postpneumonectomy syndrome: a spectrum of clinical presentations.
Ann Thorac Surg. 2007 Mar;83(3):1185-8. doi: 10.1016/j.athoracsur.2006.08.021.
3
Postpneumonectomy syndrome in children: advantages and long-term follow-up of expandable prosthesis.儿童肺切除术后综合征：可扩张假体的优势及长期随访
J Pediatr Surg. 2001 Sep;36(9):1425-7. doi: 10.1053/jpsu.2001.26391.
4
Late complications. Postpneumonectomy syndrome.晚期并发症。肺切除术后综合征。
Chest Surg Clin N Am. 1999 Aug;9(3):655-73, x.
5
Expandable prosthesis in right postpneumonectomy syndrome in childhood and adolescence.儿童和青少年右肺切除术后综合征中的可扩张假体
Ann Thorac Surg. 1993 Aug;56(2):323-7. doi: 10.1016/0003-4975(93)91168-m.
6
Right pneumonectomy syndrome in infancy treated with an expandable prosthesis.婴儿期右全肺切除综合征的可扩张假体治疗
Ann Thorac Surg. 1990 Jul;50(1):127-9. doi: 10.1016/0003-4975(90)90104-e.
7
Late complications of plombage.填充术的晚期并发症。
Ann Thorac Surg. 1992 May;53(5):803-6. doi: 10.1016/0003-4975(92)91440-k.

使用定制植入物矫正肺切除术后综合征。

Correction of postpneumonectomy syndrome using a custom implant.

作者信息

McRae Matthew C, Detterbeck Frank C, Narayan Deepak

机构信息

Department of Plastic and Reconstructive Surgery, University of Toronto Faculty of Medicine, The Banting Institute, Toronto, Canada.

出版信息

BMJ Case Rep. 2011 Apr 1;2011:bcr1120103523. doi: 10.1136/bcr.11.2010.3523.

DOI:10.1136/bcr.11.2010.3523
PMID:22700614
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3079506/
Abstract

The authors describe a patient who underwent a right pneumonectomy for removal of a bronchial carcinoid tumour. Over time she developed recurrent infections, dyspnoea and wheeze despite no evidence of tumour recurrence. A marked mediastinal shift caused severe narrowing of the left main-stem bronchus as it was draped over the vertebral column consistent with a diagnosis of postpneumonectomy syndrome. Mediastinal reorientation was accomplished with the placement of two breast implants. Failure of the superior implant resulted in a recurrence of symptoms 4 months postoperatively. A durable custom expander with wall thickness three times that of a standard expander was placed after rupture of one of the two initially placed saline implants. At 2-years follow-up the patient has complete resolution of symptoms, without any further postoperative complications.

摘要

作者描述了一名因切除支气管类癌瘤而接受右肺切除术的患者。随着时间的推移，尽管没有肿瘤复发的证据，但她仍反复出现感染、呼吸困难和喘息症状。明显的纵隔移位导致左主支气管严重狭窄，因为它覆盖在脊柱上，符合肺切除术后综合征的诊断。通过植入两个乳房假体实现了纵隔重新定位。上方的假体失败导致术后4个月症状复发。在最初植入的两个盐水假体之一破裂后，放置了一个壁厚为标准假体三倍的耐用定制扩张器。在2年的随访中，患者症状完全缓解，没有任何进一步的术后并发症。