Department of Surgery, Hanoi Medical University, Hanoi, Viet Nam.
Department of Cardiovascular and Thoracic Surgery, Hanoi Medical University Hospital, Hanoi, Viet Nam.
BMJ Case Rep. 2022 Aug 2;15(8):e249610. doi: 10.1136/bcr-2022-249610.
We present a rare complication of microwave ablation (MWA) in a male patient in his 80s. His massive pulmonary necrosis and tension pneumothorax required urgent surgery. However, the damage to the lung tissue was too large, deep and fragile. We failed to suture or conduct wedge resection on the lung lesion, so, left upper lobectomy was necessary. Therefore, we suggest that it is probably possible to reduce the frequency and time threshold when performing MWA for the elderly with comorbidities.
我们报告了一位 80 多岁男性患者微波消融（MWA）后罕见的并发症。他发生了大面积肺坏死和张力性气胸，需要紧急手术。然而，肺组织的损伤太大、太深且脆弱。我们无法对肺病变进行缝合或楔形切除，因此需要进行左上肺叶切除术。因此，我们建议对于合并症的老年患者，可能需要降低 MWA 的频率和时间阈值。
