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通过正中胸骨切开术在同期心肌血运重建和肺部手术期间的肺暴露。

Lung exposure during simultaneous myocardial revascularization and lung surgery through median sternotomy.

作者信息

Jagielak Dariusz, Kozaryn Radoslaw, Pawlaczyk Rafal, Siondalski Piotr, Rzyman Witold, Rogowski Jan

机构信息

Department of Cardiac Surgery, Medical University of Gdansk, Poland.

Department of Thoracic Surgery, Medical University of Gdansk, Poland.

出版信息

Kardiochir Torakochirurgia Pol. 2016 Dec;13(4):316-318. doi: 10.5114/kitp.2016.64871. Epub 2016 Dec 30.

DOI:10.5114/kitp.2016.64871
PMID:28096827
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5233760/
Abstract

Coronary artery disease is a frequent comorbidity in patients undergoing major thoracic surgery. Simultaneous operations eliminate the necessity of a second operation and, more importantly, minimize the delay in compulsory postoperative oncological therapy. We describe a relaxing incision in the contralateral pericardium, which allows for simple displacement of the heart. This maneuver improves exposure of the pulmonary hilum and middle mediastinum on the side of resection.

摘要

冠状动脉疾病是接受胸外科大手术患者中常见的合并症。同期手术消除了二次手术的必要性，更重要的是，最大限度地减少了术后强制性肿瘤治疗的延迟。我们描述了一种对侧心包的松弛切口，该切口可使心脏简单移位。此操作改善了切除侧肺门和中纵隔的暴露。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c1/5233760/57ff01f8ebee/KITP-13-29000-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c1/5233760/57ff01f8ebee/KITP-13-29000-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c1/5233760/57ff01f8ebee/KITP-13-29000-g001.jpg

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本文引用的文献

1
Comparison of on-pump or off-pump coronary artery revascularization with lung resection.
Ann Thorac Surg. 2007 Aug;84(2):504-9. doi: 10.1016/j.athoracsur.2007.04.005.
2
Simultaneous lung resection for cancer and myocardial revascularization without cardiopulmonary bypass (off-pump coronary artery bypass grafting).同期进行肺癌切除与心肌血运重建术，不使用体外循环（非体外循环冠状动脉搭桥术）。
Ann Thorac Surg. 2004 Mar;77(3):1023-7. doi: 10.1016/j.athoracsur.2003.07.041.
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Lung resection for cancer in patients with coronary arterial disease: analysis of short-term results.冠状动脉疾病患者肺癌切除术：短期结果分析
Eur J Cardiothorac Surg. 2002 Jul;22(1):35-40. doi: 10.1016/s1010-7940(02)00209-9.
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