An improved method for distinguishing the intersegmental plane of the lung
An improved method for distinguishing the intersegmental plane of the lung
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DOI：
10.1007/s005950070056
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发表时间：
2000-01-01
期刊：
影响因子：
--
通讯作者：
Tsubota, N
中科院分区：
文献类型：
--
作者：
Tsubota, N
一种改进的区分肺节段间平面的技术被发展如下。在确定受累支气管后，对支气管叶进行充气，然后将该段支气管捆绑以保持待切除段内的气体，然后在靠近捆绑点处进行切断。当几乎完成关闭残肢时，在放气区域和充气区域之间会形成一条线，这条线代表要进行手术的节段间平面。因此，这种技术与教科书中描述的技术完全不同，在教科书中，保留的部分保持膨胀，而切除的部分保持泄气。一旦线路发展起来，人们就可以在线路上操作，要么在适当的张力下使用电灼，要么在塌陷和膨胀的部分之间使用订书钉。切割表面非常接近真实的节间平面，因此漏气和出血的数量可以忽略不计。
An improved technique for distinguishing the intersegmental plane of the lung was developed as follows. After the involved bronchus is identified, the lobe is inflated and the segmental bronchus is then tied to maintain gas inside of the segments that will be removed, and thereafter is severed at a point proximal to the tie. When almost done closing the stump, a line will develop between the deflated and the inflated area, which represents the intersegmental plane to be operated on. This technique is therefore completely different from the technique described in textbooks, in which the preserved segment is kept inflated while the resected one is kept deflated. Once the line develops, one can operate just on the line using either electrocautery under adequate tension or staples between the collapsed and inflated segments. The cutting surface is so close to the real intersegmental plane that the amounts of air leak and bleeding are negligible.