胸腔镜辅助治疗对侧损毁肺相关肺气肿。
Video-assisted thoracoscopic management for emphysema associated with contralateral destroyed lung.
机构信息
Department of Cardiothoracic Surgery, the First Affiliated Hospital of Guangzhou Medical College, Guangzhou 510120, China; ; Guangzhou Institute of Respiratory Disease, China State Key Laboratory of Respiratory Disease, Guangzhou 510520, China; ; Guangdong Cardiovascular Institute, Guangzhou 510080, China.
出版信息
J Thorac Dis. 2013 Apr;5(2):165-8. doi: 10.3978/j.issn.2072-1439.2013.03.04.
BACKGROUND
Surgery can be quite challenging in condition that contralateral lung has no function. We report 3 cases of emphysema associated with contralateral destroyed lung managed with the use of video-assisted thoracic surgery (VATS).
METHODS
From December 2007 to December 2008, 3 patients of emphysema associated with contralateral destroyed lung were operated on by VATS. There were two pulmonary wedge resections and mechanical pleurodesises for pneumothorax and one lung volume reduction surgery (LVRS) for worsening dyspnea. Their records were reviewed retrospectively.
RESULTS
No postoperative mortality was observed. One case for pneumothorax experienced prolonged postoperative air leakage. Of all the three cases, two cases for pneumothorax had no recurrence and one case for worsening dyspnea had improved lung function.
CONCLUSIONS
VATS for emphysema associated with contralateral destroyed lung is feasible in selected patients.
背景
在对侧肺无功能的情况下，手术极具挑战性。我们报告了 3 例因肺气肿伴对侧肺损毁而接受电视辅助胸腔镜手术（VATS）治疗的病例。
方法
自 2007 年 12 月至 2008 年 12 月，我们对 3 例肺气肿伴对侧肺损毁的患者进行了 VATS 手术。其中 2 例行肺楔形切除术和机械性胸膜固定术以治疗气胸，1 例行肺减容术（LVRS）以改善呼吸困难。对其病历进行了回顾性分析。
结果
术后无死亡病例。1 例气胸患者术后出现长时间漏气。所有 3 例患者中，2 例气胸无复发，1 例呼吸困难加重的患者肺功能得到改善。
结论
在选择的患者中，VATS 治疗肺气肿伴对侧肺损毁是可行的。
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