肺叶切除术后延迟支气管瘤的表现和管理:一个病例报告
Riad Abdel Jalil1,2, Ali Dabous3, Almu'atasim Khamees3
1Department of General Surgery, King Hussein Cancer Center, Amman, Jordan. DA.06648@khcc.jo.
Journal of cardiothoracic surgery
|June 1, 2024
概括
肺部手术后的延迟空气泄漏可能会在几周后发生. 这一案例突出了使用协作外科手术技术在瘦身患者中成功管理罕见的延迟支气管支气管.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术瘤学手术瘤学
- 肺部医学 肺部医学
背景情况:
- 肺癌是全球癌症死亡的主要原因,手术切除是早期阶段的主要治疗方法.
- 手术后的空气泄漏是肺切除后的常见并发症,发生在20-33%的患者中.
- 虽然大多数空气泄漏在5天内消失,但至少5%的患者出现了需要干预的长期空气泄漏.
研究的目的:
- 描述了肺癌手术后7周发生的异常延迟空气泄漏 (支气管) 病例的管理.
- 强调多学科合作在治疗复杂的术后并发症方面的重要性.
- 展示一种创新的手术方法,用于管理体重不足患者持续泄漏的空气.
主要方法:
- 一名72岁的体重不足患者患有I期肺癌,接受了右下叶切除术和中淋巴切除术.
- 由于延迟的空气泄漏而失败的保守治疗和机械流术后,进行了复杂的手术重建.
- 重建涉及体,肋间肌肉和前肌肉片,以覆盖支气管状并填补腔空间.
主要成果:
- 广泛的手术干预成功实现了肺部的全面扩张.
- 患者在术后第5天出院,没有残留的肺胸部.
- 这种方法有效地管理了一种罕见的,延迟的支气管支气管在一个具有挑战性的患者形状.
结论:
- 管切除术后延迟的支气管管是不寻常的,但需要迅速和有效的管理.
- 胸部和整体外科之间的多学科合作对于复杂病例的最佳患者护理至关重要.
- 使用多个脚片为管理延迟空气泄漏的患者提供了可行的解决方案,患者的组织重建有限.
相关概念视频
Pneumothorax-II
139
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:
139
Flail Chest-II
165
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
165
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
187
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
187
Tracheostomy Decannulation
148
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
148
Esophageal Perforation-II: Clinical Manifestations and Management
54
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
54
Tracheostomy: Procedure and Tubes
518
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
518


