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胸腔镜下肋骨切除与胸壁重建:我们的临床经验。

Thoracoscopic rib resection and reconstruction of chest wall: Our clinical experience.

作者信息

Ueda Yuichiro, Nakagawa Tatsuo, Tomioka Yasuaki, Toyazaki Toshiya, Gotoh Masashi

机构信息

Department of Thoracic Surgery, Tenri Hospital, Nara, Japan.

出版信息

Asian J Endosc Surg. 2020 Jan;13(1):121-123. doi: 10.1111/ases.12691. Epub 2019 Feb 7.

Abstract

Chest wall resection is traditionally performed via open thoracotomy, a procedure that increases surgical morbidity and reduces postoperative quality of life. Conversely, thoracoscopic chest wall resection may minimize invasiveness but the optimal procedure remains uncertain. We previously reported rib resection using a pneumatic high-speed power drill during video-assisted thoracoscopic surgery for selected lung cancer patients. In this report, we present two cases of chest wall tumor resected using the drill via the thoracoscopic approach. We also report thoracoscopic chest wall reconstruction in one patient using a patch sheet.

摘要

传统上,胸壁切除术是通过开胸手术进行的,该手术会增加手术并发症并降低术后生活质量。相反,胸腔镜胸壁切除术可能会将侵袭性降至最低,但最佳手术方式仍不确定。我们之前报道了在电视辅助胸腔镜手术中,使用气动高速电钻对部分肺癌患者进行肋骨切除。在本报告中,我们展示了两例通过胸腔镜入路使用该电钻切除胸壁肿瘤的病例。我们还报告了一例使用补片进行胸腔镜胸壁重建的患者。

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