1.MartiniN,etal:Pleuralmesothelioma:currentreview.AnnThorcSurg,1987,43:1132.MendelsonDS,etal:Pleuralmesothelioma:CTfindings.Clinimaginh,1991,15:1053.NormoriH,etal:Contactingmetastasisofafibroustumorofthepleura.EurJCardiothoracSurg,1997,12:9284.MelloniG,Pu...[繼續(xù)閱讀]

    1概述標(biāo)準(zhǔn)后外側(cè)切口引起的創(chuàng)傷一直是引起胸部呼吸原動(dòng)力肌肉損傷、術(shù)后胸痛和肩關(guān)節(jié)活動(dòng)功能障礙的原因。1994年底,作者在原切口的基礎(chǔ)上進(jìn)行改進(jìn),使之與胸腔鏡肺切除術(shù)的操作切口相結(jié)合,成為切口長度6～13cm,平均10cm,而整個(gè)...[繼續(xù)閱讀]

    1適應(yīng)證(1)心臟手術(shù):右腋下直切口時(shí),手術(shù)視野直對右側(cè)心臟和大血管,與右胸前外側(cè)切開比較,更便于手術(shù)操作,擴(kuò)大了手術(shù)病種的選擇(圖18-108)。目前,經(jīng)此切口可完成動(dòng)脈導(dǎo)管結(jié)扎、ASD心內(nèi)修復(fù)術(shù)、還能夠進(jìn)行三房心、肺靜脈異位引...[繼續(xù)閱讀]

    1概述后外側(cè)位開胸手術(shù)(posterolateralthoracotomy,PLT)是最常見的普胸手術(shù),后外側(cè)位開胸能夠最充分暴露手術(shù)野,但不可避免要切斷胸大肌等呼吸肌群,引起術(shù)后肺功能不全、術(shù)后疼痛、手臂運(yùn)動(dòng)障礙,據(jù)最近有關(guān)報(bào)道,約有40%的PLT術(shù)后患者慢...[繼續(xù)閱讀]

    1.Landreneau,RJ,Mack,MJ,Hazelrigg,ST,etal.Video-assistedthoracicsurgery:basictechnicalconceptsandintercostalapproachstrategies.AnnThoracSurg,1992,54:800～8072.Miller,JI,Hatcher,CR.Thoracoscopy:ausefultoolinthediagnosisofthoracicdisease.AnnThoracSurg,1978,2...[繼續(xù)閱讀]

    1.LiH,BoisellePM,ShepardJ-AO,etal.DiagnosticAccuracyandSafetyofCT-guidedPercutaneousNeedleaspirationBiopsyofthelung:ComparisonofSmallandLargePulmonaryNodules,AJR,1996,167:105～1092.WestcottJL,RaoN,ColleyDP.TransthoracicneedleBiopsyofSmallPulmonarynodulesRa...[繼續(xù)閱讀]

    1.何建行,劉會(huì)平,楊運(yùn)有.電視胸腔鏡肺癌根治術(shù)5年臨床療效.中國胸心血管外科臨床雜志,2002,9(1):29～312.何建行,楊運(yùn)有,陳滿蔭.胸腔鏡肺葉切除術(shù).中華外科雜志,1996,34(2):76～783.WalkerWS,CodispotiM,SoonSY,etal.Long-termoutcomesfollowingVATSlobectomyf...[繼續(xù)閱讀]

    1.NarukeT,SuemasuK,IshikawaS,etal.Lymphnodemappingandcurabilityatvariouslevelsofmatastasisinresectedlungcancer.JThoracCardiovasecSurg,1978,76:8322.T.Naruke,R.Tsuchiya,H.Konda,HNakayamaVATSlobectomyforlungcancer.AsianJournalofSurgery,1999,22(1)3.何建行,楊運(yùn)有,陳滿...[繼續(xù)閱讀]

    1.OkadaM,YamagishiH,StakeS,etal.Survivalrelatedtolymphnodeinvolvementinlungcanceraftersleevelobectomycomparedwithpneumonectomy.JThoracCardiovascSurg,2000,119:814～8192.RendinaEA,DeGiacomoT,VenutaF,etal.Lungconservationtechniques:bronchialsleeveresectionand...[繼續(xù)閱讀]

    1概述部分中央型肺癌,因病變已侵犯肺葉動(dòng)脈或淋巴結(jié)粘連肺葉動(dòng)脈,使游離肺動(dòng)脈時(shí)容易出血或雖勉強(qiáng)游離出肺動(dòng)脈分支也不夠安全長度切除腫瘤。近11年以來,我們在這種情況下采用短暫阻斷肺動(dòng)脈或加上阻斷保留肺靜脈,迅速切出...[繼續(xù)閱讀]