Lung segmentectomy assisted by highly selective independent segmental ventilation: a series of three cases.

Lung segmentectomy assisted by highly selective independent segmental ventilation: a series of three cases.
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高选择性独立节段通气辅助肺段切除术:三例系列报道

DOI:
10.1186/s13019-021-01474-2
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发表时间:
2021-04-15
影响因子:
1.6
通讯作者:
Cai K
Cai K
中科院分区:
医学4区
文献类型:
--
作者:
Shi X;Ye J;Chen J;Zhai J;Liu X;Lu D;Lin Z;Ni Z;Wu H;Cai K

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肺段解剖切除术的关键步骤之一是确定靶向肺段间平面和切除足够的手术切缘,技术仍需改进。我们报告了三例在肺段切除术中使用高选择性独立肺段通气的肺段间平面识别。所有病例均需要麻醉师的配合,麻醉师能够进行节段性通气并由外科医生对节段性支气管分支进行双重确认。该外科手术提供了备用节段充盈的直接可视化,并比传统的剩余节段充盈方法节省了回缩时间。高选择性独立肺段通气可被认为是肺段间平面识别的合适选择,并可普遍用于肺段切除术。
The identification of targeted intersegmental planes and resection with adequate surgical margins are among the crucial steps in anatomical pulmonary segmentectomy, and technical improvements are still needed. We reported three cases of intersegmental plane identification using highly selective independent segmental ventilation during segmentectomy. All cases required cooperation with an anesthesiologist who was able to perform segmental ventilation and double confirmation of segmental bronchus branches by the surgeon. The surgical procedure provides a direct visualization of spare segment inflation and saves time in deflation over the conventional residual segment inflation method. Highly selective independent segmental ventilation could be considered a suitable option for pulmonary intersegmental plane identification and could be universally used for lung segmentectomy.
DOI: 10.1016/j.jtcvs.2012.01.079
发表时间: 2012-06-01
影响因子: 6
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