Bölükbas Servet, Biancosino Christian, Redwan Bassam, Eberlein Michael
Department of Thoracic Surgery, Helios University Hospital Wuppertal, University Witten/Herdecke, Wuppertal, Germany.
Department of Thoracic Surgery, Helios University Hospital Wuppertal, University Witten/Herdecke, Wuppertal, Germany.
Ann Thorac Surg. 2017 Jun;103(6):e529-e530. doi: 10.1016/j.athoracsur.2017.01.029.
Surgical resection represents one of the essential cornerstones in multimodal treatment of malignant pleural mesothelioma. In cases of tumor infiltration of the lung, lung-scarifying procedures such as lobectomies or pneumonectomies might be necessary to achieve macroscopic complete resection. However, this increases the morbidity of the patients because it leads to possible delay of the planned chemotherapy or radiotherapy. Innovative surgical techniques are therefore required to enable salvage of the lung parenchyma and optimization of surgical treatment. Here we report our first experience with a diode-pumped neodymium-doped yttrium aluminium garnet laser for parenchyma-sparing lung resection during surgery for malignant pleural mesothelioma.
手术切除是恶性胸膜间皮瘤多模式治疗的重要基石之一。在肿瘤侵犯肺的情况下，可能需要进行肺楔形切除术或肺切除术等肺毁损性手术，以实现宏观上的完全切除。然而，这会增加患者的发病率，因为它可能导致计划中的化疗或放疗延迟。因此，需要创新的手术技术来挽救肺实质并优化手术治疗。在此，我们报告了我们在恶性胸膜间皮瘤手术中使用二极管泵浦掺钕钇铝石榴石激光进行保留肺实质肺切除术的首次经验。
