[Diagnosis and removal of foreign bodies of the thoracic cavity using thoracoscopy].

Grudnaia khirurgiia (Moscow, Russia) Pub Date : 1989-07-01
V G Get'man
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Abstract

The author analysed the use of thoracoscopy in 12 patients with radiopaque and radiolucent foreign bodies in the pleural cavity, lung, mediastinum, myocardium, and diaphragm. The indications for the examination were specified: (1) foreign body in the pleural, cavity or its existence suspected; (2) indistinct character of an intrathoracic foreign body and injury inflicted by it to the viscera; (3) specification of surgical tactics and method for removal of the foreign body and rational surgical approach. Thoracoscopy made it possible to detect not only foreign bodies of different character, but the damages caused by them to the viscera, and the complications. Foreign bodies were removed during thoracoscopy in two thirds of cases.

胸腔镜下胸腔异物的诊断与清除
作者分析了胸腔镜对12例胸膜腔、肺、纵隔、心肌、隔膜内不透或透光异物的应用。检查的适应症有明确规定:(1)胸膜、腔内有异物或怀疑其存在;(2)胸内异物特征不明显及其对脏器的损伤;(3)异物取出的手术策略和方法及合理的手术入路。胸腔镜不仅可以发现不同性质的异物,而且可以发现它们对脏器造成的损害及其并发症。三分之二的病例在胸腔镜检查过程中取出异物。
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