诱导期后肺动脉出血的管理。
Management of pulmonary arterial bleeding in the post induction setting.
作者信息
Edwards Janet P, Balderson Stafford S, D'Amico Thomas A
机构信息
Department of Thoracic Surgery, Duke University Medical Center, Durham, NC, USA.
出版信息
J Vis Surg. 2016 Mar 16;2:53. doi: 10.21037/jovs.2016.03.08. eCollection 2016.
BACKGROUND
A minimally invasive approach to lung cancer resection offers many benefits over traditional open surgery. Pulmonary arterial injury is a widely cited reason for conversion to open surgery.
METHODS
We present a case of pulmonary arterial injury complicating dissection of the pulmonary artery during thoracoscopic left upper lobectomy. Ethical approval was obtained from the institutional ethics board and written consent was obtained from the patient.
RESULTS
Thoracoscopic management of pulmonary arterial bleeding is demonstrated. We show maintenance of a thoracoscopic approach with establishment of proximal pulmonary arterial control, allowing suture repair of an injury to the ongoing pulmonary artery.
CONCLUSIONS
While pulmonary arterial injury may be a significant problem during thoracoscopic lobectomy, minimally invasive approaches to repair are safe and effective.
背景
与传统开放手术相比，肺癌切除的微创方法具有许多优势。肺动脉损伤是转为开放手术的一个被广泛提及的原因。
方法
我们报告一例在胸腔镜左上叶切除术中肺动脉解剖时发生肺动脉损伤的病例。获得了机构伦理委员会的伦理批准，并获得了患者的书面同意。
结果
展示了胸腔镜下对肺动脉出血的处理。我们展示了通过建立近端肺动脉控制来维持胸腔镜手术方法，从而能够对正在出血的肺动脉损伤进行缝合修复。
结论
虽然肺动脉损伤在胸腔镜肺叶切除术中可能是一个重大问题，但微创修复方法是安全有效的。
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