Park Soo Jung, Jung Hanna, Kim Saeyoung, Lee Deok Heon
Department of Thoracic and Cardiovascular Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, Korea.
Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University, Daegu, Korea.
J Chest Surg. 2022 Dec 5;55(6):485-488. doi: 10.5090/jcs.22.028. Epub 2022 Aug 31.
Serratus anterior plane block (SAPB) has been used for perioperative pain control during video-assisted thoracoscopic surgery (VATS), and the effects of continuous SAPB have been studied. This procedure is usually performed by the anesthesiologist; however, it could be performed more simply and safely by the thoracic surgeon through the use of meticulous finger dissection to create a space in the deep serratus anterior plane during surgery. We describe 3 cases of surgical catheterization for continuous SAPB in patients with lung cancer during VATS lobectomy, in which postoperative pain was effectively reduced.
前锯肌平面阻滞（SAPB）已被用于电视辅助胸腔镜手术（VATS）围手术期的疼痛控制，并且对连续SAPB的效果进行了研究。该操作通常由麻醉医生进行；然而，在手术过程中，胸外科医生通过细致的手指分离在前锯肌深层平面创造一个间隙，能更简单、安全地完成该操作。我们描述了3例在VATS肺叶切除术中为肺癌患者进行连续SAPB手术置管的病例，术后疼痛得到了有效减轻。
