Lang John, Hartman Michael
Allentown Anesthesia Associates, Allentown, PA, USA.
Lehigh Valley Health Network, Allentown, PA, USA.
AANA J. 2013 Oct;81(5):369-75.
A 77-year-old man, 7 years after left pneumonectomy, was scheduled for a right upper pulmonary lobectomy. The early identification of a newly developing carcinoma on the right upper pulmonary lobe warranted surgical resection. Right exploratory thoracotomy, pleural lysis, partial pleurectomy, and right upper lobe wedge resection were completed, and the patient was discharged without sequelae. This case report describes the intraoperative anesthetic management of a right upper lobe wedge resection and attributes the uneventful intraoperative outcome to a strategically and skillfully placed left double-lumen endotracheal tube.
一名77岁男性，在左肺切除术后7年，计划进行右上肺叶切除术。早期发现右上肺叶新出现的癌肿，因此有必要进行手术切除。完成了右开胸探查、胸膜松解、部分胸膜切除术和右上叶楔形切除术，患者出院时无后遗症。本病例报告描述了右上叶楔形切除术的术中麻醉管理，并将术中顺利的结果归因于左双腔气管导管放置策略得当且技术娴熟。
