支气管镜ICG引导的胸腔镜分片切除术用于切除一个吸入的牙假体在一个老年患者患者
Eitetsu Koh1, Yasuo Sekine1, Fumihiro Ishibashi1
1Department of Thoracic Surgery, Tokyo Women's Medical University Yachiyo Medical Center, 477-96 Owada-Shinden, Yachiyo, Chiba 276-8524, Japan.
Journal of surgical case reports
|November 7, 2025
概括
一位老年患者的牙假肢被插入肺部,经历了一次成功的肺部保护手术. 支气管内绿色 (ICG) 引导的胸腔镜分片切除确保了精确的切除,并保持了肺功能.
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
- 医疗成像医学成像
背景情况:
- 外体吸入,特别是假牙,可能导致严重的呼吸道并发症.
- 肺功能受损的老年患者需要节省肺的手术方法.
研究的目的:
- 报告一个老年患者的第一个支气管内氨酸绿色 (ICG) 引导解剖细分切除术外体去除的病例.
- 评估这种技术在保护肺功能方面的有效性.
主要方法:
- 计算机断层扫描发现了右下叶后底部基底段 (S10) 的牙假体.
- 由于颗粒和冲击,支气管镜去除没有成功.
- 进行了S10的胸腔镜分片切除术,通过支气管镜注射绿色氨酸 (ICG) 导入细分支气管.
- 术内近红外成像证实了细分间平面的精确切除.
主要成果:
- 通过胸腔镜分片切除术成功切除了异物.
- 患者在术后的第七天得到了出院,没有任何并发症.
- 该程序允许精确切除,同时最大限度地保护肺功能.
结论:
- 支气管ICG引导的解剖细分切除术是一种可行且有效的肺保存技术,用于老年患者的异物切除.
- 这种方法在瘤外科手术中的既定作用之外,具有显著的临床实用性.
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