非插管胸腔镜下肺大疱性肺气肿肺切除术

Nonintubated Thoracoscopic Pneumonectomy for Bullous Emphysema.

作者信息

Hung Wan-Ting, Liao Hsien-Chi, Cheng Ya-Jung, Chen Jin-Shing

机构信息

Division of Thoracic Surgery, Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.

Division of Thoracic Surgery, Department of Surgery, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin County, Taiwan.

出版信息

Ann Thorac Surg. 2016 Oct;102(4):e353-5. doi: 10.1016/j.athoracsur.2016.04.012.

DOI:10.1016/j.athoracsur.2016.04.012

PMID:27645981

Abstract

Thoracoscopic pneumonectomy without tracheal intubation has not been reported. We describe a woman with severe bullous emphysema of the right upper lobe and hypoplasia of the remaining lung lobes who underwent thoracoscopic pneumonectomy using a nonintubated anesthetic technique of internal intercostal nerve block, vagal block, and targeted sedation. The successful results in this patient suggest that nonintubated thoracoscopic pneumonectomy is technically feasible and can be used in a specific group of patients.

摘要

未报告过非气管插管的胸腔镜肺切除术。我们描述了一名患有右上叶严重大疱性肺气肿且其余肺叶发育不全的女性，她接受了胸腔镜肺切除术，采用了肋间神经阻滞、迷走神经阻滞和靶向镇静的非插管麻醉技术。该患者的成功结果表明，非插管胸腔镜肺切除术在技术上是可行的，并且可用于特定患者群体。