在各种潜在的肺部疾病中,在叶片切除术后新形成的肺囊
Satona Tanaka1, Naoki Date2, Yoshito Imamura2,3
1Department of Thoracic Surgery, Kyoto University Hospital, 54, Shogoin-Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan. satonat@kuhp.kyoto-u.ac.jp.
Surgical case reports
|March 11, 2024
概括
肺叶切除术后新形成的肺囊可能发生在患有慢性阻塞性肺病 (COPD),间歇性肺炎 (IP) 或甚至健康个体的患者中. 切割囊并使用纤维素粘合剂与多糖醇酸 (PGA) 板有效地管理这些术后囊.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 手术病理学的外科病理学
背景情况:
- 肺部囊可以在手术后发展,呈现出各种症状.
- 以前的报道主要将这些囊与慢性阻塞性肺病 (COPD) 患者的上半叶切除术联系起来.
研究的目的:
- 在多种不同患者群体中调查肺部切除术后肺囊的发生和管理.
- 为了评估治疗这些囊的特定手术技术的疗效.
主要方法:
- 分析了四例肺部抽除术后囊病例,包括患有间歇性肺炎 (IP),COPD的患者和健康的肺脏捐赠者.
- 视频辅助胸腔镜手术 (VATS) 用于初始的脑叶切除术.
- 为了治疗囊,采用了一种标准化手术方法,包括囊切口,涂抹多糖醇酸 (PGA) 片和纤维素,有或没有 suturing.
主要成果:
- 在IP,COPD和健康个体的患者中,肺囊在空腹切除术后发生.
- 进行了涉及囊切割和用纤维素粘合剂涂抹PGA片的手术干预.
- 一年后的术后计算机断层扫描 (CT) 扫描显示,四个病例都没有复发或空气泄漏.
结论:
- 肺切除术后的肺囊可以在患有COPD和IP等潜在肺部疾病的患者以及健康个体中出现.
- 包括囊切口,纤维素和PGA板应用在内的手术管理是有效的治疗策略.
- 这种方法似乎可以防止复发和空气泄漏,确保有利的长期结果.
相关概念视频
01:27Pneumothorax-II
145
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
145
01:17Other Pulmonary Disorders
838
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
838
01:26Pneumothorax-I
204
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
204
01:13Pleura of the Lungs
1.8K
The lungs are nestled in a cavity, shielded by the pleura. The pleura, a form of serous membrane, wraps around each lung. This membrane arrangement consists of two layers: the visceral and parietal pleurae. The visceral pleura lines the surface of the lungIn contrast, the parietal pleura is the outer layer and contacts to the thoracic wall, the mediastinum, and the diaphragm. The hilum is the point of connection between the visceral and parietal layers. The space between the parietal and...
1.8K
01:17Gross Anatomy of the Lungs
1.8K
The lungs are a pair of vital organs connected to the trachea via the left and right bronchi. The base of these organs meets the dome-shaped muscle known as the diaphragm. Encased by the pleurae, the lungs contact the mediastinum. The right lung is shorter yet wider, and has a larger volume than the left lung. The left lung has an indentation known as the cardiac notch. The superior region of the lungs is referred to as the apex, whereas the base is the lower region near the diaphragm. The...
1.8K
01:17Pulmonary Cycle: Exhalation
1.6K
In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
1.6K