Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.
Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.
Ann Thorac Surg. 2022 Jul;114(1):e71-e74. doi: 10.1016/j.athoracsur.2021.09.046. Epub 2021 Oct 26.
Pleurectomy and decortication serves as a major component of therapy for malignant pleural mesothelioma (MPM), but the procedure is time consuming. We tentatively applied a carbon dioxide (CO) blower into pleurectomy and decortication for a patient with local relapse of MPM. The blower can help increase the potential subpleural place thanks to the positive pressure by CO, while the mist of saline could clean the potential bleeding to increase visibility. Thereby, the procedure was greatly facilitated in a more precise manner, with blood loss of 100 mL and acceptable postoperative air leak and thorax drainage. Therefore, a CO blower may be considered in pleurectomy and decortication for MPM.
胸膜切除术和剥除术是治疗恶性胸膜间皮瘤（MPM）的主要方法，但该过程耗时较长。我们尝试将二氧化碳（CO）吹入胸膜切除术和剥除术中，以治疗局部复发的 MPM 患者。由于 CO 的正压作用，吹气机可以帮助增加潜在的胸膜下空间，而盐水的雾气可以清洁潜在的出血部位，提高可视度。因此，该过程得以更精确地顺利进行，术中出血量仅 100 毫升，术后气胸和胸腔引流情况可接受。因此，CO 吹气机可用于 MPM 的胸膜切除术和剥除术。
