雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Influence of Pleural Adhesions on Thoracoscopic Surgeries for Malignant Lung Tumors Naohiro Kobayashi 1 , Tomoyuki Kawamura 1 , Takahiro Yanagihara 1 , Yusuke Saeki 1 , Shinji Kikuchi 1 , Yukinobu Goto 1 , Yukio Sato 1 1Department of Thoracic Surgery, Tsukuba University Keyword: pleural adhesions , surgery for malignant lung tumor , thoracoscope pp.509-513
Published Date 2021/7/1
DOI https://doi.org/10.15106/j_kyobu74_509
  • Abstract
  • Look Inside
  • Reference

In the present study, influences of pleural adhesions on thoracoscopic lung surgeries were investigated. A total of 666 consecutive patients who had undergone thoracoscopic surgeries for lung malignant tumors were retrospectively analyzed. Pleural adhesions were present intraoperatively in 289 cases, of which 6 required conversion to thoracotomy due to the adhesions. The influences of pleural adhesions on the perioperative period were comparatively large under following conditions (level-A);the adhesion-type was tight which meant lung and pleural wall sticked closely even if lung collapse was encouraged, the strength was middle (required sharp-dissection) or strong (hard to dissect between visceral and parietal pleura), and the range was more than 10% of total pleural surface. Significant influences of the level-A of pleural adhesions were as follows;prolonged operation time in all procedures, frequent intraoperative lung fistula and prolonged pleural drainage period in wedge resections, and increased blood loss, intraoperative and postoperative lung fistula with prolonged pleural drainage time and postoperative hospitalization period in lobectomy. Other postoperative complications (pneumonia, empyema, exacerbation of interstitial pneumonitis, and arrhythmias) were not associated with pleural adhesions. Careful dissection procedure for pleural adhesions that minimize damage of visceral pleura would be the most important.


© Nankodo Co., Ltd., 2021

基本情報

電子版ISSN 2432-9436 印刷版ISSN 0021-5252 南江堂

関連文献

もっと見る

文献を共有