甲状腺切除术中二氧化碳栓塞:一个病例报告和文献综述
Ralph Victor Yap1, Alfred Allen Buenafe1,2,3, James Tankiatsy1
1Unified Minimally Invasive Surgery Training, Quezon City, Philippines.
Asian journal of endoscopic surgery
|August 7, 2023
概括
穿口内镜甲状腺切除术可能会危及前静脉损伤,可能导致致命的二氧化碳 (CO2) 栓塞. 在此过程中,对于外科医生和麻醉师来说,意识和警是至关重要的.
科学领域:
- 手术创新 在外科创新.
- 麻醉学 麻醉学
- 血管外科 血管外科
背景情况:
- 穿口内镜甲状腺手术,包括前庭治疗方法 (TOETVA),为甲状腺疾病提供了最少的侵入性选择.
- 在TOETVA创建外科工作空间可能会对前静脉构成风险,可能导致二氧化碳 (CO2) 栓塞.
- 虽然二氧化碳栓塞很罕见,但是在内镜手术期间,它是一种严重且可能致命的并发症.
结论:
- 在TOETVA期间,二氧化碳栓塞是很大的风险,特别是在学习曲线的早期阶段和资源有限的环境中.
- 提高外科医生和麻醉师对二氧化碳栓塞的表现,管理和预防的认识至关重要.
- 需要进一步的研究和标准化的协议来减轻与TOETVA相关的风险.
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