原発性自然気胸治療における壁側胸膜部分切除　特に胸腔鏡下手術での再発防止法としての意義

DOI 被引用文献10件 参考文献12件

書誌事項

タイトル別名
  • Partial parietal pleurectomy during thoracoscopic surgery for spontaneous pneumothorax.
  • 特に胸腔鏡下手術での再発防止法としての意義

この論文をさがす

抄録

Since 1978, we routinely performed partial parietal pleurectomy at thoracotomy for spontaneous pneumothorax to prevent postoperative recurrence. Since the introduction of the thoracoscopic procedure to our service in 1992 we have made it the first choice approach in surgery for pneumothorax. Aiming at as less recurrence, as in the case of open thoracotomy, we make it a rule to carry out a partial parietal pleurectomy through the thoracoscope in addition to wedge resection of the lung.<BR>We have operated upon 38 patients (40 thoracic cavities) to date. Pleurectomy required only 10 minutes, and caused only negligible additional bleeding, (average bleeding per entire procedure 20 ml.) One patient (one thoracic cavity) developed a postoperative recurrence of pneumothorax (2.5%). No other complication has been noted.<BR>We consider that a partial parietal pleurectomy is easy and useful method through the thoracoscope, in the treatment of spontaneous pneumothorax.

収録刊行物

被引用文献 (10)*注記

もっと見る

参考文献 (12)*注記

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ