Shimokawa S, Ishibe R, Ishizaki N, Tanaka K, Matsunaga Y, Taira A
Second Department of Surgery, Kagoshima University Faculty of Medicine, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1994 Mar;42(3):437-41.
Successful simultaneous operation for thoracic and abdominal lesions was performed in three cases. A 70-year-old man with bronchogenic cyst and a 73-year-old woman with thymoma, who had also cholecystolithiasis respectively, underwent a cholecystectomy following resection of the intrathoracic tumors. A 69-year-old man with bronchogenic carcinoma and abdominal aortic aneurysm underwent a left upper lobectomy following aneurysmectomy and grafting using vascular prosthesis. Their postoperative courses were uneventful. One stage operation has the advantage of treating both lesions simultaneously and saving the patient from the physical and psychosomatic pain and the risk of a second procedure. If patients are properly selected, simultaneous operation for thoracic and abdominal lesions can be safely performed with a short hospitalization and less expense.
三例患者成功进行了胸腹部病变同期手术。一名70岁患有支气管囊肿的男性和一名73岁患有胸腺瘤且分别患有胆囊结石的女性,在切除胸内肿瘤后接受了胆囊切除术。一名69岁患有支气管癌和腹主动脉瘤的男性,在进行动脉瘤切除并使用血管假体进行移植后接受了左上叶切除术。他们的术后病程平稳。一期手术具有同时治疗两种病变的优势,使患者免受身体和身心痛苦以及二次手术的风险。如果患者选择得当,胸腹部病变同期手术可以安全进行,住院时间短且费用低。