Ivanov V A
Vestn Khir Im I I Grek. 1981 Jan;126(1):66-71.
The trans-sternal access to the lung and its root was used in 31 operations of pleuropulmonectomy. The access made it possible to separate without difficulty and almost without blood loss and to treat the elements of the lung root without its preliminary isolation from the adhesion with the thoracic wall. Before the removal of the lung the author proposes to transfuse the remaining blood from the pulmonary vessels into the vein of the patients. This measure helps preserve about 500 ml of the patient's blood. By means of using the trans-sternal access and inverse blood transfusion the total blood loss during the operation was found to be 5--6 times less which in its turn resulted in 2,5--3 times less postoperative lethality.
在31例胸膜肺切除术的手术中采用了经胸骨入路到达肺及其根部。该入路使得能够毫无困难且几乎不出血地进行分离，并能在不预先将肺根与胸壁粘连分离的情况下处理肺根的各个结构。在切除肺之前，作者建议将肺血管中剩余的血液回输到患者静脉中。这一措施有助于保存患者约500毫升的血液。通过采用经胸骨入路和逆向输血，发现手术中的总失血量减少了5至6倍，这反过来又使术后死亡率降低了2.5至3倍。
