Y 型袖状肺叶切除术治疗原发性肺癌的手术技术。
Surgical Techniques of Y-Sleeve Lobectomy in Patients With Primary Lung Cancer.
机构信息
Department of Thoracic Surgery, Osaka City University, Osaka, Japan
Department of Thoracic Surgery, Osaka City University, Osaka, Japan.
出版信息
In Vivo. 2022 Jan-Feb;36(1):350-354. doi: 10.21873/invivo.12709.
BACKGROUND/AIM: The directions of distal and proximal airway stumps were different in Y-sleeve lobectomy. This difference might make Y-sleeve lobectomy a difficult procedure. In this article, we present our surgical techniques and analyse short-term outcomes of Y-sleeve lobectomy.
PATIENTS AND METHODS
Right middle and lower, left lower, and left lower and lingular segment sleeve lobectomies are categorized in Y-sleeve lobectomy. We retrospectively investigated the clinical courses of 17 patients who underwent Y-sleeve lobectomy from January 2017 to December 2020.
RESULTS
No treatment-related deaths occurred. One patient developed a bronchopleural fistula. Four patients developed pneumonia and were cured by repeated bronchoscopies and antibiotic therapy. Three patients had retention of pleural effusion, and two had prolonged air leakage. One patient had empyema after prolonged air leakage and was cured by thoracic drainage and antibiotic therapy.
CONCLUSION
A major complication was observed only in one patient. Y-sleeve lobectomy is a reliable surgical method to avoid pneumonectomy.
背景/目的：Y 型袖状肺叶切除术的远端和近端气道残端的方向不同。这种差异可能使 Y 型袖状肺叶切除术成为一个困难的手术。在本文中，我们介绍了我们的手术技术，并分析了 Y 型袖状肺叶切除术的短期结果。
患者与方法
右中叶和下叶、左肺下叶和舌段袖状肺叶切除术被归类为 Y 型袖状肺叶切除术。我们回顾性调查了 2017 年 1 月至 2020 年 12 月期间 17 例接受 Y 型袖状肺叶切除术的患者的临床经过。
结果
无治疗相关死亡病例。1 例患者发生支气管胸膜瘘。4 例患者发生肺炎，经反复支气管镜检查和抗生素治疗治愈。3 例患者胸腔积液潴留，2 例患者漏气时间延长。1 例患者因长时间漏气后发生脓胸，经胸腔引流和抗生素治疗治愈。
结论
仅 1 例患者发生严重并发症。Y 型袖状肺叶切除术是一种可靠的避免全肺切除术的手术方法。
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