Hamaji Masatsugu, Tanaka Toru, Tachi Hidekazu, Ohsumi Akihiro
Department of Thoracic Surgery, Kyoto University, Kyoto, Japan
Department of Thoracic Surgery, Kansai Electric Power Hospital, Osaka, Japan.
Eur J Cardiothorac Surg. 2014 Aug;46(2):327-8. doi: 10.1093/ejcts/ezt409. Epub 2013 Aug 4.
Apical pleurodesis procedures, in addition to the resection of bullae or blebs, proved to lower the recurrence rate in spontaneous pneumothoraces. Here, we describe our thoracoscopic technique of making a 360° apical pleurodesis. After resecting responsible bullae or blebs thoracoscopically, we dissect the parietal pleura off the chest wall up, turn it over on the mediastinal side, clip it on the mediastinal pleura and place the lung apex against the rough surface to promote extensive apical pleurodesis. The technique has been performed for 18 patients so far and no late recurrence of pneumothorax has been noted.
除了切除肺大疱或肺小疱外，胸膜顶固定术被证明可降低自发性气胸的复发率。在此，我们描述我们的胸腔镜下360°胸膜顶固定术技术。在胸腔镜下切除相关肺大疱或肺小疱后，我们将壁层胸膜从胸壁向上剥离，翻转至纵隔侧，夹在纵隔胸膜上，并将肺尖抵靠在粗糙表面上以促进广泛的胸膜顶固定。到目前为止，该技术已应用于18例患者，未发现气胸晚期复发。
