• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

肺癌手术术后管理的实践评估

A Practical Assessment of the Postoperative Management in Lung Cancer Surgery.

作者信息

Bertolaccini Luca, Mohamed Shehab, Uslenghi Clarissa, Chiari Matteo, Girelli Lara, Lo Iacono Giorgio, Spaggiari Lorenzo

机构信息

Department of Thoracic Surgery, IEO, European Institute of Oncology IRCCS, Via Ripamonti 435, 20141 Milan, Italy.

Department of Oncology and Hemato-Oncology, University of Milan, 20122 Milan, Italy.

出版信息

J Pers Med. 2023 Feb 18;13(2):358. doi: 10.3390/jpm13020358.

DOI:10.3390/jpm13020358
PMID:36836592
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9963681/
Abstract

Postoperative management after major and minor thoracic surgeries is crucial for patient recovery and can be challenging. Major thoracic surgeries, such as extensive pulmonary resections, especially in patients with poor health status, may require intensive surveillance, particularly during the first 24-72 h after surgery. Moreover, thanks to the demographic development and medical progress in perioperative medicine, more patients with comorbidities undergoing thoracic procedures require proper management in the postoperative period to improve prognosis and decrease hospital stay. Here, we summarize the main thoracic postoperative complications in order to clarify how to prevent them through a series of standardized procedures.

摘要

大、小胸科手术后的管理对于患者康复至关重要,且颇具挑战性。大型胸科手术,如广泛的肺切除术,尤其是健康状况不佳的患者,可能需要密切监测,特别是在术后最初的24 - 72小时内。此外,由于人口结构的变化以及围手术期医学的进展,更多合并症患者接受胸科手术,需要在术后进行适当管理,以改善预后并缩短住院时间。在此,我们总结主要的胸科术后并发症,以阐明如何通过一系列标准化程序预防这些并发症。

相似文献

1
A Practical Assessment of the Postoperative Management in Lung Cancer Surgery.肺癌手术术后管理的实践评估
J Pers Med. 2023 Feb 18;13(2):358. doi: 10.3390/jpm13020358.
2
Perioperative management in thoracic surgery.胸外科围手术期管理。
Med Intensiva (Engl Ed). 2020 Apr;44(3):185-191. doi: 10.1016/j.medin.2019.10.012. Epub 2019 Dec 20.
3
Pulmonary complications in anterior-posterior thoracic lumbar fusions.胸腰椎前后路融合术中的肺部并发症
Spine J. 2004 May-Jun;4(3):312-6. doi: 10.1016/j.spinee.2003.11.008.
4
[Incidence of postoperative venous thromboembolism after thoracic surgery and its characteristic: a single center, prospective cohort study].[胸外科手术后静脉血栓栓塞症的发生率及其特征:一项单中心前瞻性队列研究]
Zhonghua Wai Ke Za Zhi. 2018 Apr 1;56(4):284-288. doi: 10.3760/cma.j.issn.0529-5815.2018.E008.
5
Effects of transcutaneous electrical acupoint stimulation at different frequencies on perioperative anesthetic dosage, recovery, complications, and prognosis in video-assisted thoracic surgical lobectomy: a randomized, double-blinded, placebo-controlled trial.不同频率经皮穴位电刺激对电视辅助胸腔镜肺叶切除术围手术期麻醉剂量、恢复情况、并发症及预后的影响:一项随机、双盲、安慰剂对照试验
J Anesth. 2017 Feb;31(1):58-65. doi: 10.1007/s00540-015-2057-1. Epub 2015 Sep 8.
6
[The role of the intensive care unit after thoracic surgery].[胸外科手术后重症监护病房的作用]
Rev Mal Respir. 2022 Jan;39(1):40-54. doi: 10.1016/j.rmr.2021.12.006. Epub 2022 Jan 13.
7
[Effect of perioperative treatment with ambroxol on lung cancer patients after video-assisted thoracic surgery lobectomy].氨溴索围手术期治疗对肺癌患者电视辅助胸腔镜肺叶切除术后的影响
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2014 Aug;39(8):849-54. doi: 10.3969/j.issn.1672-7347.2014.08.016.
8
Fast track in thoracic surgery and anaesthesia: update of concepts.胸外科手术与麻醉的快速通道:概念更新
Curr Opin Anaesthesiol. 2016 Feb;29(1):20-5. doi: 10.1097/ACO.0000000000000282.
9
From open surgery to uniportal VATS: asturias experience.从开腹手术到单孔胸腔镜手术:阿斯图里亚斯经验。
J Thorac Dis. 2014 Oct;6(Suppl 6):S644-9. doi: 10.3978/j.issn.2072-1439.2014.08.53.
10
The First 24 Robotic Surgeries of Hospital da Luz.卢斯医院的前24例机器人手术。
Rev Port Cir Cardiotorac Vasc. 2017 Jul-Dec;24(3-4):103.

引用本文的文献

1
The Role of Early Rehabilitation in Treatment of Acute Pulmonary Embolism-A Narrative Review.早期康复在急性肺栓塞治疗中的作用——一项叙述性综述
J Clin Med. 2025 Sep 3;14(17):6230. doi: 10.3390/jcm14176230.

本文引用的文献

1
2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS): The Task Force for the diagnosis and management of atrial fibrillation of the European Society of Cardiology (ESC) Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC.2020年欧洲心脏病学会(ESC)与欧洲心胸外科学会(EACTS)合作制定的心房颤动诊断和管理指南:欧洲心脏病学会(ESC)心房颤动诊断和管理特别工作组,由ESC欧洲心律协会(EHRA)特别贡献制定。
Eur Heart J. 2021 Feb 1;42(5):373-498. doi: 10.1093/eurheartj/ehaa612.
2
Incentive Spirometry for Prevention of Postoperative Pulmonary Complications After Thoracic Surgery.激励式肺量计在胸外科术后预防肺部并发症中的应用。
Respir Care. 2021 Feb;66(2):327-333. doi: 10.4187/respcare.07972. Epub 2020 Aug 25.
3
Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERAS®) Society and the European Society of Thoracic Surgeons (ESTS).肺手术后加速康复外科指南:加速康复外科(ERAS®)协会和欧洲胸外科医师学会(ESTS)的建议。
Eur J Cardiothorac Surg. 2019 Jan 1;55(1):91-115. doi: 10.1093/ejcts/ezy301.
4
The impact of enhanced recovery after surgery (ERAS) protocol compliance on morbidity from resection for primary lung cancer.手术(ERAS)后恢复加强方案遵守情况对原发性肺癌切除术后发病率的影响。
J Thorac Cardiovasc Surg. 2018 Apr;155(4):1843-1852. doi: 10.1016/j.jtcvs.2017.10.151. Epub 2017 Dec 19.
5
The Development of Enhanced Recovery After Surgery Across Surgical Specialties.各外科专业术后加速康复的发展
J Laparoendosc Adv Surg Tech A. 2017 Sep;27(9):863-870. doi: 10.1089/lap.2017.0317. Epub 2017 Aug 10.
6
Risk assessment and prophylaxis of venous thromboembolism in surgical inpatients: improving adherence to national guidelines.外科住院患者静脉血栓栓塞症的风险评估与预防:提高对国家指南的依从性
BMJ Qual Improv Rep. 2015 Aug 27;4(1). doi: 10.1136/bmjquality.u206691.w2692. eCollection 2015.
7
External suction versus water seal after selective pulmonary resection for lung neoplasm: a systematic review.选择性肺切除术后应用外吸与水封治疗肺肿瘤:系统评价。
PLoS One. 2013 Jul 9;8(7):e68087. doi: 10.1371/journal.pone.0068087. Print 2013.
8
Postoperative antibacterial prophylaxis for the prevention of infectious complications associated with tube thoracostomy in patients undergoing elective general thoracic surgery: a double-blind, placebo-controlled, randomized trial.择期开胸手术患者 tube thoracostomy 术后抗菌预防以预防感染性并发症的双盲、安慰剂对照、随机试验。
JAMA Surg. 2013 May;148(5):440-6. doi: 10.1001/jamasurg.2013.1372.
9
Management of chest tubes after pulmonary resection: a systematic review and meta-analysis.肺切除术后胸腔引流管的管理:系统评价和荟萃分析。
Can J Surg. 2012 Aug;55(4):264-70. doi: 10.1503/cjs.001411.
10
Prevention of postoperative pulmonary complications with CPAP, incentive spirometry, and conservative therapy.使用持续气道正压通气(CPAP)、激励肺活量测定法和保守治疗预防术后肺部并发症。
Chest. 1985 Feb;87(2):151-7. doi: 10.1378/chest.87.2.151.