【摘 要】
：
Objective :To evaluate the results of chest drainage using 12F pigtail tubes after lobectomy.Methods: From June 2012 to November 2013,148 consecutive patientsunderwent drainageof their pleural cavity
【机 构】
：
Departments of Thoracic Surgery , Gansu Provincial Hospital Lanzhou, 730000,P.R China
【出 处】
：
中国医师协会胸外科医师分会2015年会、第六届全国胸外科学术大会暨第八届浙江省胸部肿瘤论坛
论文部分内容阅读
Objective :To evaluate the results of chest drainage using 12F pigtail tubes after lobectomy.Methods: From June 2012 to November 2013,148 consecutive patientsunderwent drainageof their pleural cavity following lobectomy by one or two 12F pigtail tubes.There were 94 males and 54 females,with mean age of 58.32 years (22~74).There were 127 lobectomies (34 right upper, 11 right middle,26 right lower,34 left upper,22 left lower), 13 bilobectomies (10 right middle and lower, 3 right upper and middie), 2 left pneumonectomy, 3 right pneumonectomy, 3 bronchus sleeve lobectomy, all of whom underwent VATS (video-assisted thoracic surgery).128 cases were malignant diseases and 20 cases were benign leisions.Chest X rays were performed regularly in the postoperative period to detect residual pleural effusion or pneumothorax necessitating redrainage or reoperation.Results: Of the 148 enrolled patients, 127 (85.81%) were successfully treated with the pigtail catheter for their initial drainage.2 patients dead due to myocardial infraction and acute respiratory failure, respectively.11 (7.43%) patients required ultrasound-guided pigtail catheters (12F) redrainage result from encapsulated pleural effusion, pneumothorax.2 patients developed pleural infection and underwent 22Fr chest tube redrainage.Median duration ofdrainage was 4.2 days.3 bronchopleural fistulas and the intubation time were extened 18 days, 22 days, 26 days, respectively.7 small amount of persistent air leaks were given 50% glucose 50ml in thoracic cavity per day for merely 10 days and withdrawal of catheters no recurrence.Conclnsions:The use of 12F pigtail tubes for lobectomy is considered to be an acceptable option.It is necessary to proceed with further investigationsof larger numbers of cases.
其他文献
[目的]分析替吉奥联合三维适形放疗与单纯三维适形放疗治疗我国老年食管癌的疗效和3～4级的不良反应.[方法]检索2005年1月～2014年1月,在万方、中国期刊网、维普、PubMed、Medline、Cochrane Library数据库等国内外有关数据库,查找符合条件的临床随机对照试验.收集相关三维适形放疗联合替吉奥同步放化疗与单纯放疗治疗我国老年食管癌的临床随机对照试验,纳入研究的文献,根据Co
[目的]通过分析大样本的食管鳞癌队列,评估脉管浸润的预后价值,研究其在改善分期中的价值,并在多中心队列中进行组外验证.[方法]本研究纳入自1999年1月1日至2006年12月31日在中山大学肿瘤防治中心胸科连续收治的单纯手术彻底切除的胸段食管鳞癌患者666例.分析脉管浸润与各临床病理参数的关系,进行生存分析,并经bootstrap法再抽样(n=1000)进行组内验证.使用时间依赖性ROC曲线分析和
[目的]探讨原发性小细胞食管癌的临床病理特点、预后因素以及治疗模式,为临床工作中更好地评估其预后、选择合理的治疗模式提供理论依据.[方法]检索Pubmed检索系统,以"小细胞食管癌"为检索词,提取其原始数据以及我院收治的原发性小细胞食管癌的患者共110例.回顾性分析其临床病理特点、治疗情况以及生存情况,并进一步分析原发性小细胞食管癌的预后影响因素.采用Kaplan-Meier法计算中位生存时间和总
[目的]山西省阳城县是全国食管癌高发地区之一,食管癌的发病率和死亡率均为恶性肿瘤之首.40年来通过各种手段为4087例患者进行了治疗,其中手术治疗的食管癌患者有938例.为探讨食管癌手术的远期疗效,为临床治疗和肿瘤防治工作提供参考依据,将手术治疗食管癌患者的临床资料、治疗方法和随访结果进行统计分析.[方法] 1975年9月至2014年12月接受手术治疗的阳城县籍食管癌患者共938例.男582例,女
[目的]食管癌患者中,胸部喉返神经旁淋巴结转移的发生率高达20％～40％,这一区域的淋巴结清扫是近年受关注的热点与难点.喉返神经旁淋巴结清扫可以明确分期诊断,并有利于取得根治性切除,但困难在于清扫该区域淋巴结导致喉返神经损伤的发生率升高,但目前的CT、食管超声内镜、PET/CT等技术对喉返神经旁淋巴结转移的诊断作用不尽人意,无法在术前诊断该部位淋巴结有无转移,难以实现选择性清扫.本研究拟探索术中超
Background:We observed abnormal HOXB7 expression in esophageal squamous cell carcinoma (ESCC)previously.This study was to evaluate the prognostic significance of HOXB7 and reveal the potential mechani
Introduction:The role of adjuvant radiotherapy in patients with esophageal squamous cell carcinoma(ESCC) remains controversial.This retrospective study was designed to analyze the impact of adjuvant r
[目的]探讨食管癌联合受侵气管部分切除以胃壁修补呼吸道重建术术后的护理。[方法]回顾性分析2000年8月～2011年8月,我院对14例侵及气管的原发性食管癌患者手术后的配合和护理。[结果]在护士的熟练配合和护理下,14例患者均痊愈出院。[结论]食管癌连同受侵气管部分切除以胃壁修补呼吸道重建术是创伤较大的手术,手术风险大,术后护理难度大,术后的积极护理可以减少术后并发症,为患者安全出院发挥了非常重要
[目的]探讨术前CT诊断食管癌淋巴结转移的准确性，为更好的术前N分期提供依据.[方法]对378例于我科行食管癌手术治疗患者的临床、病理、影像学资料进行统计分析，术前CT以淋巴结大小、强化程度、长短径之比作为诊断淋巴结转移标准，术中将CT诊断的转移淋巴结单独送病理检查，分析术前CT与术后病理诊断的符合率.[结果]术前CT诊断转移淋巴结总的阳性预测值为63.23％；将淋巴结分区后其对锁骨上区、左喉返神
AFP-producing or hepatoid carcinoma in esophagus is rare.Here we reported a case from the main land of China.A 37-year-old man presented with dysphagia was diagnosed as esophageal adenocaecinoma.An ra