胸腔镜检查 2013 年

Pleuroscopy in 2013.

机构信息

Division of Respiratory & Critical Care Medicine, Department of Medicine, Yong Loo Lin Medical School, National University Hospital, National University of Singapore, 1E Kent Ridge Road, NUHS Tower Block Level 10, Singapore 119228.

出版信息

Clin Chest Med. 2013 Mar;34(1):81-91. doi: 10.1016/j.ccm.2012.11.003.

DOI:10.1016/j.ccm.2012.11.003

PMID:23411059

Abstract

Pleuroscopy provides a window to the pleural space while enabling biopsy of the parietal pleura under direct visual guidance for effusions of unknown etiology, guided chest tube placement, and pleurodesis for recurrent pleural effusions or pneumothoraces in selected patients. The procedure enjoyed resurgence when thoracic surgeons introduced the technique for video-assisted thoracic surgery (VATS). VATS is performed under general anesthesia with single-lung ventilation; pleuroscopy is performed in an endoscopy suite using nondisposable rigid or flex-rigid instruments, local anesthesia, and conscious sedation. Pleuroscopy is less invasive; in this review, we discuss the indications, complications, techniques, and recent advances in the procedure.

摘要

胸腔镜检查为胸膜腔提供了一个窗口，同时在直接可视引导下对壁层胸膜进行活检，用于不明原因的胸腔积液、引导胸腔引流管放置，以及对选定患者的复发性胸腔积液或气胸进行胸膜固定术。当胸外科医生将该技术引入电视辅助胸腔镜手术（VATS）时，该手术再次流行起来。VATS 在全身麻醉下进行单肺通气；胸腔镜检查在内镜室中使用非一次性刚性或柔韧刚性器械、局部麻醉和清醒镇静进行。胸腔镜检查的侵入性较小；在这篇综述中，我们讨论了该手术的适应证、并发症、技术和最新进展。