在局部麻醉下进行胸腔镜直接合关闭,用于在局部麻醉下严重粘附的大:一个案例报告
Naoya Kitamura1, Tomohiko Takahashi2, Jun Kawamukai2
1Thoracic Surgery, Toyama University Hospital, Toyama, JPN.
Cureus
|March 25, 2024
概括
在局部麻醉下进行胸腔镜手术是肺胸部的可行选择,即使有持续的空气泄漏. 对高风险患者来说,直接结囊提供了一个安全的替代方案.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部病理学 肺部病理学
- 麻醉学 麻醉学
背景情况:
- 在局部麻醉下进行胸腔镜手术越来越多地用于肺胸.
- 然而,挑战和失败案例需要共享先进的技术.
研究的目的:
- 在局部麻醉下描述一项成功的技术,用于治疗由于局部麻醉下大球体崩而导致的肺胸部.
- 为那些不适合全身麻醉的患者提供一种替代方案.
主要方法:
- 胸腔镜手术是在局部麻醉下进行的,因为患者的风险因素.
- 布拉壁上的囊直接使用4-0 Prolene sutures, pledgets,多糖酸片和纤维素粘合剂被关闭.
主要成果:
- 布拉囊成功关闭,持续的空气泄漏问题得到解决.
- 患者在术后第六天出院,肺胸部没有复发.
结论:
- 在局部麻醉下直接合布拉壁的关闭是一种可行的替代治疗方法.
- 这种方法对患有全身麻醉高风险的患者尤为有益.
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