视频辅助双侧前开胸双肺移植:技术、优势和注意事项。

Q4 Medicine
Journal of Chest Surgery Pub Date : 2025-07-05 Epub Date: 2025-03-04 DOI:10.5090/jcs.24.115
Samina Park
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引用次数: 0

摘要

肺移植仍然是终末期难治性呼吸衰竭患者的唯一治疗选择。传统上,翻盖切口是主要的手术入路,因为它提供了通往纵隔和双侧胸膜腔的广泛通道。然而,它也有明显的缺点,如胸骨不愈合和伤口并发症的风险增加,这可能阻碍术后恢复。本文介绍了另一种方法——视频辅助双侧前开胸双肺移植。我们提供详细的一步一步的手术指南,提供实用的技巧,并强调这种方法优于传统的翻盖切口。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Double Lung Transplantation Using Bilateral Anterior Thoracotomies with Video-Assistance: Techniques, Advantages, and Considerations.

Lung transplantation remains the only curative option for patients with end-stage, medically refractory respiratory failure. Traditionally, the clamshell incision has been the primary surgical approach, as it provides extensive access to the mediastinum and bilateral pleural cavities. However, it is also associated with notable drawbacks, such as an increased risk of sternal nonunion and wound complications, which can impede postoperative recovery. This article introduces an alternative approach-double lung transplantation using video-assisted bilateral anterior thoracotomy. We present a detailed step-by-step surgical guide, offer practical tips, and highlight the advantages of this method over the conventional clamshell incision.

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来源期刊
Journal of Chest Surgery
Journal of Chest Surgery Medicine-Surgery
CiteScore
0.80
自引率
0.00%
发文量
76
审稿时长
7 weeks
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