A new technique of diaphragmatic patch fixation in extrapleural pneumonectomy.
نویسندگان
چکیده
Extrapleural pneumonectomy (EPP) is an established surgical treatment for malignant mesothelioma; this operation is, however, burdened by a high rate of perioperative morbidity, mostly related to the surgical procedure. Diaphragmatic patch dehiscence is a potentially serious complication often related to the difficulty in placement of the fixing stitches, especially in the costo-phrenic angle. We present our experience with the use of titanium-plate support for an easy and safe positioning of the diaphragmatic patch.
منابع مشابه
[Liver herniation after extrapleural pneumonectomy due to a mesothelioma].
The patient is a 66-year-old woman who had undergone a right extrapleural pneumonectomy 2 years earlier for pleural mesothelioma (stage II) and had received adjuvant chemoand radiotherapy. During the procedure, a Gore-Tex patch was used to reconstruct the diaphragm. Six months after surgery, a follow-up MRI was ordered due to high transaminase levels, and herniation of the liver into the thorax...
متن کاملPericardial flap for bronchial stump coverage after extrapleural pneumonectomy; is it feasible?
Bronchial stump reinforcement with viable tissue after pneumonectomy is an important prophylactic measure against the development of bronchopleural fistula. We present our technique of utilizing the pericardium on the posterior wall of the left atrium as a flap to cover the bronchial stump after extrapleural pneumonectomy. From January 1999 to March 2008, we used this technique in 50 patients (...
متن کاملVideo-atlas of extrapleural pneumonectomy.
This is a step-by-step video demonstration of a left extrapleural pneumonectomy for malignant pleural mesothelioma, including thoracotomy incision, extrapleural mobilization of tumor, resection of diaphragm, mediastinal nodal dissection and division of hilar vessels followed by reconstruction of diaphragm and closure of the thoracotomy.
متن کاملRight extrapleural completion pneumonectomy for fibrocavitary nontuberculous mycobacterial lung disease
We report a case of a 76-year-old man with fibrocavitary nontuberculous mycobacterial (FC-NTM) lung disease, who was successfully treated with right extrapleural completion pneumonectomy. Right extrapleural completion pneumonectomy with careful coverage of the bronchial stump might be effective in patients with FC-NTM lung disease.
متن کاملInhaled nitric oxide for acute right-ventricular dysfunction after extrapleural pneumonectomy.
Increased pulmonary vascular pressure and decreased right-ventricular performance may occur following pneumonectomy. Inhaled nitric oxide decreases right-ventricular afterload and improves cardiac index by selectively decreasing pulmonary vascular resistance without causing systemic hypotension. We report the use of inhaled nitric oxide in a patient with acute right-ventricular dysfunction afte...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
دوره 38 6 شماره
صفحات -
تاریخ انتشار 2010