Duan Hongtao, Tong Liping, Zhu Yifang, Dong Xiaoping, Zhang Yong, Liu Honggang, Yan Xiaolong
Department of Thoracic Surgery, Tangdu Hospital, Air Force Medical University, Xi'an 710038, China.
J Thorac Dis. 2018 Dec;10(12):7005-7008. doi: 10.21037/jtd.2018.11.136.
The purpose of the essay is to introduce a new procedure in term of robot-assisted left pneumonectomy. The "secondary resection tracheal" technique is that, the left bronchi, which was 3-4 cm apart from trachea carina was disserted firstly, as the distal bronchi stump was lifted, with more space and vision being explored, the artery was pinned down easily, chipped and cut accurately. As far as the program goes down, it is more privileged but one point where it was capable of avoiding or decreasing the risk of ripping the left artery. In addition to isolating, lifting or tracting the proximal tracheal stump, the endo-GIA staple was much easier used to cut the tracheal stump secondly and to deliver shorter one as well as to reduce the odds of the bronchial stump fistula. Moreover, for the preliminary date has indicated, there's been a significant decrease in intraoperative hemorrhage involving with the left pneumonectomy.
本文的目的是介绍一种机器人辅助左肺切除术的新方法。“二期切除气管”技术是指,首先分离距气管隆突3-4厘米的左主支气管,当远端支气管残端被提起时,随着更多空间和视野的显露,动脉很容易被固定,精确地切断。就该程序而言,它更具优势,能够避免或降低撕裂左动脉的风险。除了分离、提起或牵拉近端气管残端外,使用内镜切割吻合器(endo-GIA吻合器)更容易在第二步切断气管残端,使残端更短,同时降低支气管残端瘘的几率。此外,初步数据表明,左肺切除术的术中出血量显著减少。