Guo Chenglin, Mei Jiandong, Ma Lin, Pu Qiang, Liu Chengwu, Liu Lunxu
Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu 610041, China.
Ann Transl Med. 2018 Sep;6(18):363. doi: 10.21037/atm.2018.09.02.
Bleeding due to vascular injury is the most troublesome and dangerous condition during video-assisted thoracoscopic surgery (VATS) major pulmonary resection. It is also the main reason for emergent conversion to open thoracotomy and remains a great challenge for thoracic surgeons. We designed the suction-compressing angiorrhaphy technique (SCAT) for troubleshooting this problem. Handling of the vascular injury under VATS was divided into three different situations. Herein, three typical videos were presented to elucidate the technical details for the management of vital vascular bleeding during VATS major pulmonary resection.
血管损伤导致的出血是电视辅助胸腔镜手术（VATS）下肺大切除术过程中最棘手且危险的情况。它也是紧急转为开胸手术的主要原因，仍然是胸外科医生面临的巨大挑战。我们设计了吸引-压迫血管缝合技术（SCAT）来解决这个问题。VATS下处理血管损伤分为三种不同情况。在此，展示三个典型视频以阐明VATS下肺大切除术期间处理重要血管出血的技术细节。
