Kreso Antonia, Mathisen Douglas J
Division of Thoracic Surgery, Massachusetts General Hospital, 55 Fruit Street Founders 7, Boston, MA 02114, USA.
Division of Thoracic Surgery, Massachusetts General Hospital, 55 Fruit Street Founders 7, Boston, MA 02114, USA.
Thorac Surg Clin. 2021 Aug;31(3):265-271. doi: 10.1016/j.thorsurg.2021.04.005. Epub 2021 Jun 9.
Air leaks and residual airspaces following lung resection are common problems in thoracic surgery. Prolonged air leaks frequently necessitate extended hospitalization. This is true whether the surgery was done in an open fashion or with video-/robot-assisted thoracic surgery. In this review, the authors present common risk factors that predispose to prolonged air leaks and discuss the management options for air leaks by focusing on intraoperative maneuvers, postoperative considerations, and options for difficult-to-manage air leaks and spaces. They also discuss options to prevent such spaces and present management approaches to take care of patients with these challenging problems.
肺切除术后的漏气和残留气腔是胸外科常见的问题。长时间漏气常常需要延长住院时间。无论是采用开放手术方式还是电视辅助/机器人辅助胸外科手术,情况都是如此。在这篇综述中,作者介绍了导致长时间漏气的常见危险因素,并通过关注术中操作、术后注意事项以及处理难治性漏气和气腔的方法,讨论了漏气的处理选择。他们还讨论了预防此类气腔的方法,并提出了针对这些具有挑战性问题的患者的处理方法。