电视辅助胸腔镜手术肺切除及淋巴结清扫术中并发症的处理
Management of Complications During Video-Assisted Thoracic Surgery Lung Resection and Lymph Node Dissection.
作者信息
Choi Yong Soo
机构信息
Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
出版信息
J Chest Surg. 2021 Aug 5;54(4):263-265. doi: 10.5090/jcs.21.051.
Abstract
Intraoperative events can occur during video-assisted thoracoscopic surgery (VATS) lobectomy due to unfavorable surgical anatomy, such as dense adhesions or calcifications around the pulmonary arteries. Troubleshooting intraoperative complications is essential for performing safe and successful VATS pulmonary resection and lymph node dissection. If continuous bleeding occurs or VATS does not proceed despite all measures, conversion to open thoracotomy should not be delayed.
摘要
由于手术解剖结构不佳，如肺动脉周围存在致密粘连或钙化，在电视辅助胸腔镜手术（VATS）肺叶切除术中可能会发生术中事件。对术中并发症进行故障排除对于安全、成功地进行VATS肺切除和淋巴结清扫至关重要。如果持续出血或尽管采取了所有措施VATS仍无法进行，不应延迟转为开胸手术。
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