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肺叶切除术后综合征和肺切除术后综合征:病例系列及文献综述

Post-pneumonectomy and post-lobectomy syndromes: case series and review of the literature.

作者信息

Stratakos Grigoris, Vitsas Vlassis, Koufos Nikos, Zissis Charalambos, Emmanouil Philip, Koulouris Nikos

机构信息

1st Respiratory Medicine Department, National and Kapodistrian University of Athens.

出版信息

Monaldi Arch Chest Dis. 2017 May 18;87(1):810. doi: 10.4081/monaldi.2017.810.

DOI:10.4081/monaldi.2017.810
PMID:28635203
Abstract

The post-pneumonectomy syndrome is a rare complication consisting of rotation and herniation of the mediastinal structures, the remaining lung and the respective bronchi, into the contralateral hemithorax. This situation may produce symptomatic airway obstruction and varies in its presentation and severity. We describe one case of right and one of left pneumonectomy syndrome as well as one case of post-lobectomy syndrome. We review the literature on the pathophysiology, the clinical, radiological and bronchoscopic characteristics of this rare entity and discuss all available therapeutic alternatives.

摘要

肺切除术后综合征是一种罕见的并发症,由纵隔结构、剩余肺组织及相应支气管旋转并疝入对侧半胸组成。这种情况可能导致有症状的气道梗阻,其表现和严重程度各不相同。我们描述了一例右肺切除术后综合征、一例左肺切除术后综合征以及一例肺叶切除术后综合征的病例。我们回顾了关于这一罕见病症的病理生理学、临床、放射学及支气管镜特征的文献,并讨论了所有可用的治疗选择。

相似文献

1
Post-pneumonectomy and post-lobectomy syndromes: case series and review of the literature.肺叶切除术后综合征和肺切除术后综合征:病例系列及文献综述
Monaldi Arch Chest Dis. 2017 May 18;87(1):810. doi: 10.4081/monaldi.2017.810.
2
An unusual cause of breathlessness after lobectomy for lung cancer.肺癌肺叶切除术后呼吸困难的一个不寻常原因。
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Management of postpneumonectomy syndrome with a bronchoscopically placed endobronchial stent.经支气管镜放置支气管内支架治疗肺切除术后综合征
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Tuberculous tracheobronchial stricture causing post-pneumonectomy-like syndrome corrected by insertion of a bespoke Dumon stent.结核性气管支气管狭窄导致类肺切除术后综合征,通过置入定制的杜蒙支架得以纠正。
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A case of pulmonary inflammatory myofibroblastic tumor treated with bronchoscopic therapy plus lobectomy.经支气管镜治疗联合肺叶切除术治疗肺部炎症性肌纤维母细胞瘤 1 例。
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Coughing a fragment without stent failure: a rare presentation of airway stent damage.咳出碎片且支架未失效:气道支架损伤的罕见表现。
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Right pneumonectomy syndrome: a late life-threatening complication of pneumonectomy.右全肺切除综合征:全肺切除术后一种危及生命的晚期并发症。
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引用本文的文献

1
Contralateral pneumothorax with postpneumonectomy syndrome: report of 18-year-old case.对侧气胸伴肺切除术后综合征:18岁病例报告。
Interdiscip Cardiovasc Thorac Surg. 2024 Mar 29;38(4). doi: 10.1093/icvts/ivae065.
2
[Surgery, Unexpected: Pneumonectomy as the Cause of Superior Vena Cava Syndrome].[手术意外:肺切除术作为上腔静脉综合征的病因]
Open Respir Arch. 2021 Apr 19;3(3):100099. doi: 10.1016/j.opresp.2021.100099. eCollection 2021 Jul-Sep.
3
Post-pneumonectomy syndrome: a systematic review of the current evidence and treatment options.
肺切除术后综合征:当前证据和治疗选择的系统评价。
J Cardiothorac Surg. 2023 Apr 10;18(1):119. doi: 10.1186/s13019-023-02278-2.
4
Tracheobronchial carcinoid tumour causing a complete collapse of the one and compensatory hypertrophy of the other lung, resulting in a postpneumonectomy-like syndrome.气管支气管类癌肿瘤导致一侧肺完全萎陷,另一侧肺代偿性肥大,从而引发类似肺叶切除术后的综合征。
BMJ Case Rep. 2022 May 11;15(5):e250070. doi: 10.1136/bcr-2022-250070.
5
Correction of a postpneumonectomy syndrome with congenital pectus excavatum using Ravitch's procedure and silicone breast implants. Report of a case.采用拉维奇手术和硅胶乳房植入物矫正先天性漏斗胸合并肺切除术后综合征。病例报告。
Int J Surg Case Rep. 2020;72:27-31. doi: 10.1016/j.ijscr.2020.05.044. Epub 2020 May 29.
6
Bronchoesophageal fistula secondary to postpneumonectomy like syndrome caused by bilobectomy and postoperative radiation therapy for lung cancer.肺癌行双叶切除及术后放疗后导致类似肺切除术后综合征继发的支气管食管瘘。
Ann Transl Med. 2019 Oct;7(20):588. doi: 10.21037/atm.2019.09.84.
7
Postpneumonectomy-like syndrome due to bronchial carcinoid: a unique case report.肺叶切除术后样综合征由支气管类癌引起:1 例独特病例报告。
BMC Pulm Med. 2019 Feb 18;19(1):44. doi: 10.1186/s12890-018-0767-5.