在机器人辅助的 inguinal hernia 修复后持续的双侧肺胸:可能与最近的食道癌症手术有关 - 一份病例报告
Seiji Ishikawa1, Kaori Shirakawa2, Yui Kuroda3
1Department of Anesthesiology and Pain Medicine, Faculty of Medicine, Juntendo University, 2-1-1, Hongo, Bunkyo-Ku, Tokyo, 113-8421, Japan. seiji.ishikawa.juntendo@gmail.com.
JA clinical reports
|June 22, 2023
概括
本病例报告详细介绍了一例罕见的腹腔镜手术后持续的双边肺胸病例. 这种并发症持续超过9天,突出显示了以前经过食道切除术的患者的潜在风险.
科学领域:
- 胸部外科手术 胸部外科手术
- 最少侵入性的手术
- 手术并发症 手术并发症
背景情况:
- 手术后肺胸炎是腹腔镜手术后的一种罕见并发症.
- 之前没有关于腹腔镜手术后肺胸部持续一周或更长时间的报道.
- 这一病例呈现了长期双边肺胸炎的独特实例.
研究的目的:
- 在机器人辅助的 inguinal Hernia 修复后报告一个独特的持续双边肺胸病例.
- 探索一个潜在的新型机制,用于肺胸部的发展,在患者有食道切除术的历史.
主要方法:
- 一名65岁的男性有食管切除病史,接受了机器人辅助的 inguinal hernia 修复.
- 手术后的胸部X射线记录了双边肺胸.
- 肺胸持续超过9天,然后自发消失.
主要成果:
- 双边肺胸发生在术后,在术后第一天恶化.
- 肺胸部在9天内自发地消失.
- 一个假设的机制涉及通过食道间隙或背面路线的腹腔内气体迁移.
结论:
- 患有急性食道切除病史的患者进行 laparoscopic 手术可能会增加术后肺胸部的风险.
- 之前手术的特定解剖学变化可能会导致这种并发症.
- 对这种风险进行进一步调查是有必要的.
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