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改良式胸腔引流管固定法与单一切口微创胸腔手术缝合法

An improved method of anchoring chest drain and suture technique for Uni-portal VATS incision.

机构信息

Department of Thoracic Surgery, Renji Hospital, Shanghai Jiao Tong University School of Medicine, No. 160 Pujian Road, Shanghai, 200127, China.

出版信息

Gen Thorac Cardiovasc Surg. 2021 Nov;69(11):1515-1518. doi: 10.1007/s11748-021-01699-x. Epub 2021 Sep 13.

DOI:10.1007/s11748-021-01699-x
PMID:34515949
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8494684/
Abstract

Uni-portal video-assisted thoracoscopic approach is currently a popular surgical technique in general thoracic surgery. After operation, a chest tube is usually placed through the incision to drain the effusion and gas from the thoracic cavity. In the conventional method, the retaining stitches should be taken out ten days after removing chest drain. To get better would-healing and avoid unsightly scar, we explored a method of anchoring chest drain and two-layer suture for Uni-portal incision without removing stitches post operation.

摘要

经单操作孔电视胸腔镜手术是目前胸外科常用的一种手术方式。术后常常规经切口留置胸腔引流管以排出胸腔内的积液和积气。在传统的方法中，在拔除胸腔引流管后 10 天取出缝线。为了获得更好的愈合效果，避免难看的疤痕，我们探索了一种在不拆线的情况下固定胸腔引流管和对单操作孔切口进行双层缝合的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52fe/8494684/08979f7ca1f2/11748_2021_1699_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52fe/8494684/b067cd202b4b/11748_2021_1699_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52fe/8494684/08979f7ca1f2/11748_2021_1699_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52fe/8494684/b067cd202b4b/11748_2021_1699_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52fe/8494684/08979f7ca1f2/11748_2021_1699_Fig2_HTML.jpg

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本文引用的文献

1
Drainage tube hole suture improvement: Removal-free stitches.引流管孔缝合改良：免拆缝线。
Thorac Cancer. 2019 Sep;10(9):1827-1833. doi: 10.1111/1759-7714.13157. Epub 2019 Jul 31.
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Barbed suture material technique for wound closure and concomitant tube placement in uniportal VATS for pneumothorax.用于气胸单孔电视辅助胸腔镜手术伤口闭合及同期置管的倒刺缝线材料技术
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Reduction in drain-related adverse events using the barbed suture method for chest tube wound closure.使用带刺缝线方法减少胸腔引流管伤口闭合相关不良事件。
Gen Thorac Cardiovasc Surg. 2024 Aug;72(8):519-526. doi: 10.1007/s11748-023-02002-w. Epub 2024 Jan 12.
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Ameliorated chest drain wound closure in patients undergoing uniportal thoracoscopic pulmonary resection.单孔胸腔镜肺切除患者胸管伤口闭合的改良方法
Front Surg. 2023 Dec 19;10:1323937. doi: 10.3389/fsurg.2023.1323937. eCollection 2023.
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一种使用含三氯生涂层缝线的两层法拔除胸腔引流管的新技术。
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Uniportal video-assisted thoracoscopic sleeve lobectomy and other complex resections.单孔电视辅助胸腔镜袖状切除术和其他复杂切除术。
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