经过微创心脏手术后出现的肋间间肺间
Eric E Vinck1, Ricardo A Zapata1, Cristian A Tarazona1
1Department of Thoracic and Cardiovascular Surgery, Cardio VID Clinic, Pontifical Bolivarian University, Medellín, Antioquia, Colombia.
Brazilian journal of cardiovascular surgery
|September 6, 2024
概括
最少侵入性心脏手术可能导致肋间肺间. 适当的伤口关闭和及时的视频辅助胸腔镜网膜修复是预防和治疗这些的关键.
科学领域:
- 心胸外科手术 心胸外科手术
- 手术瘤学手术瘤学
背景情况:
- 最少侵入性心脏手术 (MICS) 越来越常见.
- 肺间,特别是肋间间,是MICS的新出现的并发症.
- 获得的肺包括术后,创伤性,病理性和自发性类型,肋间间是最常见的.
研究的目的:
- 描述MICS之后的肋间肺间的发生率和特征.
- 审查促使肋间肺间发生的因素.
- 概述这些的管理方法.
主要方法:
- 从2010年至2022年通过迷你胸切除术进行MICS的患者的回顾性评估.
- 排除了微型胸切除术.
- 对切口类型和促成因素的分析,以及修复技术的描述.
主要成果:
- 在803名通过迷你胸腔切除术接受MICS的成年患者中,发现了9例肋间间肺.
- 在之前的切口部位发生.
- 常见的位置包括右第2节肋间侧侧 (大动脉) 和右第4节肋间侧 (心心) 迷你胸腔切除术.
结论:
- 肋间肺间是MICS的一个潜在并发症.
- 细致的伤口关闭对于预防至关重要.
- 及时诊断和手术修复,最好使用视频辅助胸腔镜网,对于最佳结果至关重要.
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