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使用血管密封系统进行多发肺段切除术治疗自发性气胸。

Use of vessel sealing system for multiple partial lung lobectomies for spontaneous pneumothorax.

机构信息

BluePearl Veterinary Partners - Surgery, 1646 Spring Cypress Road #100, Spring, Texas 77388, USA.

出版信息

Can Vet J. 2020 Aug;61(8):875-879.

Abstract

A wolf hybrid dog was presented for dyspnea and tachypnea. Thoracic radiographs revealed a pneumothorax. A median sternotomy was performed, and multiple pulmonary blebs were identified on several lung lobes. Multiple partial lung lobectomies were performed using a vessel sealing system. The dog was discharged 4 days after surgery free of clinical signs related to surgery or pneumothorax. This case represents a novel utilization of a vessel sealing system to remove the apex of the lung when there are numerous pulmonary lesions present. Key clinical message: A vessel sealing system simplified multiple partial lung lobectomies in an open thoracotomy. The system reduced tissue trauma as well as the amount of normal pulmonary tissue removed while efficiently creating a seal.

摘要

一只狼犬混血儿因呼吸困难和呼吸急促就诊。胸部 X 光片显示气胸。进行了正中胸骨切开术,在几个肺叶上发现了多个肺大疱。使用血管密封系统进行了多次部分肺叶切除术。手术后 4 天,狗没有出现与手术或气胸相关的临床症状出院。该病例代表了在存在多个肺部病变时使用血管密封系统切除肺尖的一种新方法。关键临床信息:血管密封系统简化了开放性开胸手术中的多次部分肺叶切除术。该系统减少了组织创伤和正常肺组织的切除量,同时有效地形成了密封。

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本文引用的文献

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A randomized, prospective trial of stapled lung reduction versus laser bullectomy for diffuse emphysema.
J Thorac Cardiovasc Surg. 1996 Feb;111(2):317-21; discussion 322. doi: 10.1016/s0022-5223(96)70440-3.

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