Lohser Jens, McLean Sean R
From the *Department of Anesthesiology, Pharmacology and Therapeutics, University of British Columbia, Vancouver General Hospital; and †Anesthesiology Residency Program, University of British Columbia, Vancouver, British Columbia, Canada.
A A Case Rep. 2013 Oct 15;1(2):39-41. doi: 10.1097/ACC.0b013e31829459d0.
A 61-year-old female ex-smoker presented with a suspicious right lower lobe mass after previously undergoing a left pneumonectomy. Due to the peripheral nature of the lung lesion, a right thoracoscopic wedge resection was proposed by the surgical team. Adequate ventilation, oxygenation, and surgical conditions were obtained using high-frequency jet ventilation to the operative lung throughout the procedure. The trachea was extubated in the operating room, and the patient recovered uneventfully from the procedure. This case demonstrates the feasibility of limited thoracoscopic lung resections postpneumonectomy with the use of high-frequency jet ventilation.
一名61岁的已戒烟女性在先前接受左肺切除术后出现右肺下叶可疑肿块。由于肺部病变位于周边，手术团队建议进行右胸镜楔形切除术。在整个手术过程中，通过对术侧肺进行高频喷射通气，获得了足够的通气、氧合和手术条件。患者在手术室拔管，术后恢复顺利。该病例证明了肺切除术后使用高频喷射通气进行有限胸腔镜肺切除术的可行性。
