Maat Alexander, Abdullah Saya, Schouten Geerten, Cornelissen Robin, Bogers Ad, Mahtab Edris
Erasmus University Medical Center, Department of Cardiothoracic Surgery Dokter Molewaterplein 40 3015GD Rotterdam The Netherlands.
(a) Cardiothoracic Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands (b) Pulmonary Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands.
Multimed Man Cardiothorac Surg. 2020 Jul 6;2020. doi: 10.1510/mmcts.2020.038.
Malignant pleural mesothelioma is a disease of the pleural cavity that is strongly associated with asbestos exposure. In most cases it carries a poor prognosis. Patients often present with respiratory symptoms, caused by pleural effusion. Treatment, preferably in a multimodal setting, cannot provide cure, but can prolong survival and improve quality of life in selected cases. Prior to eventual cytoreductive surgery, surgical intervention can provide histopathological proof of disease, and symptoms can be controlled with talc pleurodesis. We present the case of a 67-year-old patient with malignant pleural mesothelioma who underwent video-assisted thoracoscopic biopsy and talc pleurodesis, and demonstrate our technique with a video tutorial showing how we performed the procedure.
恶性胸膜间皮瘤是一种与接触石棉密切相关的胸膜腔疾病。在大多数情况下，其预后较差。患者常因胸腔积液出现呼吸道症状。治疗最好采用多模式治疗方案，虽无法治愈，但在某些病例中可延长生存期并改善生活质量。在最终进行细胞减灭术前，手术干预可提供疾病的组织病理学证据，滑石粉胸膜固定术可控制症状。我们报告一例67岁恶性胸膜间皮瘤患者，该患者接受了电视辅助胸腔镜活检和滑石粉胸膜固定术，并通过视频教程展示我们的操作技术，说明我们是如何进行该手术的。
