食管癌手术切除过程中发生心脏撕裂伤。
Heart laceration during oesophagectomy for the treatment of oesophageal carcinoma.
作者信息
Zygoń Justyna Izabela, Skokowski Jarosław, Zieliński Jacek, Drucis Kamil, Golabek-Dropiewska Katarzyna
机构信息
Medical University of Gdańsk, Surgical Oncology, Dębinki Street 7, Gdańsk, 80-211, Poland.
出版信息
BMJ Case Rep. 2010 Apr 12;2010:bcr12.2009.2560. doi: 10.1136/bcr.12.2009.2560.
Oesophagectomy remains an acceptable treatment option for oesophageal cancer. However, it is associated with relatively high morbidity with potentially devastating complications, especially for patients who have undergone previous thoracic surgery. The majority of these complications, however, can be minimised by prevention and early recognition. In this report we present a case of a patient whose right ventricle was injured during the oesophagectomy. We try to analyse the reasons for this complication and establish an algorithm of preoperative planning for such cases.
食管癌切除术仍然是治疗食管癌的一种可接受的选择。然而，它与相对较高的发病率相关，可能会出现严重的并发症，尤其是对于先前接受过胸外科手术的患者。不过，通过预防和早期识别，这些并发症中的大多数是可以降至最低的。在本报告中，我们介绍了一例在食管癌切除术中右心室受损的患者。我们试图分析这一并发症的原因，并为这类病例建立术前规划算法。
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