相关实验视频
Updated: Jan 9, 2026

04:38
Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
Published on: April 19, 2024
570
由机器人辅助切除术引起的肺骨髓栓塞:一个病例报告
Tai Hato1, Hiroaki Kashimada1, Masatoshi Yamaguchi1
1Department of General Thoracic Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe City, Saitama, 350-8550, Japan.
Journal of surgical case reports
|December 8, 2025
概括
机器人辅助肺切除可以导致肺骨髓栓塞,这是一个罕见的并发症. 在机器人胸部手术期间,外科医生应该小心肋骨骨折,以防止这种栓塞.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术并发症 手术并发症
- 肺部病理学 肺部病理学
背景情况:
- 肺骨髓栓塞 (PBME) 通常与创伤或心肺复苏有关.
- 之前没有记录过机器人辅助胸部手术后的PBME.
研究的目的:
- 在机器人辅助肺切除后报告PBME病例.
- 为了突出机器人胸部手术期间肋骨骨折的潜在风险.
主要方法:
- 一个女性患者接受了机器人辅助的左上叶切除术治疗肺癌的案例研究.
- 术后成像和切除肺部的病理检查.
主要成果:
- 患者在术后第3天出现肋骨骨折.
- 病理学证实了切除的肺样本中的肺骨髓栓塞.
- 骨折归因于机器人端口与背脊肋间空间的相互作用.
结论:
- 机器人辅助胸部手术带有PBME的风险,因为潜在的肋骨骨折.
- 谨慎的端口放置和移动,特别是在背脊肋间空间,对于防止肋骨骨折和随后的栓塞至关重要.
相关概念视频
Pulmonary Embolism I: Introduction
471
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
471
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
281
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
281
Pulmonary Embolism III: Nursing Management
325
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
325

