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空气栓塞后电视辅助开放性锁骨上交感神经切除术

Video-assisted open supraclavicular sympathectomy following air embolism.

作者信息

Shpolyanski G, Hashmonai M, Rudin M, Abaya N, Kaplan U, Kopelman D

机构信息

Department of Surgery B, Haemek Medical Center, Afula, Israel.

出版信息

JSLS. 2012 Apr-Jun;16(2):337-9. doi: 10.4293/108680812x13427982376824.

DOI:10.4293/108680812x13427982376824
PMID:23477192
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3481243/
Abstract

BACKGROUND

Air embolism is a relatively rare complication of thoracoscopic surgery.

METHODS

Open supraclavicular sympathectomy was indicated to overcome the risk of re-embolization. A novel video-assisted technique was performed. conclusions: The previously prevalent open supraclavicular sympathectomy is a good choice for avoiding air embolism. Laparoscopic instrumentation and technology can be used to improve open procedures, especially when exposure and visibility are limited. Sometimes we should remember to use the experience of our teachers.

摘要

背景

空气栓塞是胸腔镜手术相对罕见的并发症。

方法

为克服再次栓塞的风险,行开放式锁骨上交感神经切除术。采用了一种新型视频辅助技术。

结论

先前普遍采用的开放式锁骨上交感神经切除术是避免空气栓塞的良好选择。腹腔镜器械和技术可用于改进开放手术,尤其是在暴露和视野受限的情况下。有时我们应该记住借鉴老师的经验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b161/3481243/43ffedd74c6c/jls0021228660001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b161/3481243/43ffedd74c6c/jls0021228660001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b161/3481243/43ffedd74c6c/jls0021228660001.jpg

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本文引用的文献

1
End-tidal CO2 for exclusion of suspected pulmonary embolism: a new partner for Wells?呼末二氧化碳用于排除疑似肺栓塞:韦尔斯评分的新搭档?
Eur Respir J. 2010 Apr;35(4):723-4. doi: 10.1183/09031936.00164309.
2
Video-assisted thoracic surgery (VATS) of the lung: analysis of intraoperative and postoperative complications over 15 years and review of the literature.电视辅助胸腔镜肺手术:15年术中及术后并发症分析并文献复习
Surg Endosc. 2008 Feb;22(2):298-310. doi: 10.1007/s00464-007-9586-0. Epub 2007 Oct 18.
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Evaluation of suspected pulmonary embolism utilizing end-tidal CO2 and D-dimer.
Am J Surg. 1999 Aug;178(2):98-102. doi: 10.1016/s0002-9610(99)00136-1.
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Anaesthetic implications of thoracoscopic surgery in children.小儿胸腔镜手术的麻醉要点
Paediatr Anaesth. 1999;9(2):103-10. doi: 10.1046/j.1460-9592.1999.9220281.x.
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Upper thoracic sympathectomy for primary palmar hyperhidrosis: long-term follow-up.
Br J Surg. 1992 Mar;79(3):268-71. doi: 10.1002/bjs.1800790329.