无管单孔胸腔镜手术是一项符合加速康复外科理念(enhanced recovery after surgery,ERAS)的新技术。该文从(1)无管单孔胸腔镜手术的麻醉方式;(2)无管单孔胸腔镜手术在肺大疱切除、治疗手汗症、肺组织活检、亚肺叶切除、肺叶切除及纵隔...无管单孔胸腔镜手术是一项符合加速康复外科理念(enhanced recovery after surgery,ERAS)的新技术。该文从(1)无管单孔胸腔镜手术的麻醉方式;(2)无管单孔胸腔镜手术在肺大疱切除、治疗手汗症、肺组织活检、亚肺叶切除、肺叶切除及纵隔肿瘤切除中的临床应用;(3)无管单孔胸腔镜手术的优势;(4)无管单孔胸腔镜手术的不足;(5)无管单孔胸腔镜手术的展望等几个方面就无管单孔胸腔镜手术临床应用的现状与进展进行综述。展开更多
Background: Vanishing lung is a rare syndrome. It mainly affects young males who are smokers, it considered an advanced stage of bullous disease, where the entire lobe or lung paranchym is replaced by bullae, it appea...Background: Vanishing lung is a rare syndrome. It mainly affects young males who are smokers, it considered an advanced stage of bullous disease, where the entire lobe or lung paranchym is replaced by bullae, it appears radiologically as a hyperlucency due to air trapping and destruction of interstitial tissue and vascularity in alveolar wall’s. Misdiagnosed usually as pneumothorax so must be differentiated from other causes of Hyperlucency lung syndrom. Hereby a case of vanishing lung diagnosed primarily as a post TB lung destruction. Case Report: A sixteenth-year-old virgin female patient, with treated for TB for six months without radilogical improvement. CXR and CT scan revealed diffuse left lung hyperlucency, TB work up (sputum exam, washing by bronchoscopy) appears no active disease. Left pneumenctomy had done, grossly there are no lung pranchyma and microscopically no signs of TB in the specimen. The findings are consistent with Vanishing lung. Conclusions: An understanding of the broad differential diagnosis of pulmonary hyperlucency is necessary to determine the underlying cause and provide appropriate patient care.展开更多
文摘无管单孔胸腔镜手术是一项符合加速康复外科理念(enhanced recovery after surgery,ERAS)的新技术。该文从(1)无管单孔胸腔镜手术的麻醉方式;(2)无管单孔胸腔镜手术在肺大疱切除、治疗手汗症、肺组织活检、亚肺叶切除、肺叶切除及纵隔肿瘤切除中的临床应用;(3)无管单孔胸腔镜手术的优势;(4)无管单孔胸腔镜手术的不足;(5)无管单孔胸腔镜手术的展望等几个方面就无管单孔胸腔镜手术临床应用的现状与进展进行综述。
文摘Background: Vanishing lung is a rare syndrome. It mainly affects young males who are smokers, it considered an advanced stage of bullous disease, where the entire lobe or lung paranchym is replaced by bullae, it appears radiologically as a hyperlucency due to air trapping and destruction of interstitial tissue and vascularity in alveolar wall’s. Misdiagnosed usually as pneumothorax so must be differentiated from other causes of Hyperlucency lung syndrom. Hereby a case of vanishing lung diagnosed primarily as a post TB lung destruction. Case Report: A sixteenth-year-old virgin female patient, with treated for TB for six months without radilogical improvement. CXR and CT scan revealed diffuse left lung hyperlucency, TB work up (sputum exam, washing by bronchoscopy) appears no active disease. Left pneumenctomy had done, grossly there are no lung pranchyma and microscopically no signs of TB in the specimen. The findings are consistent with Vanishing lung. Conclusions: An understanding of the broad differential diagnosis of pulmonary hyperlucency is necessary to determine the underlying cause and provide appropriate patient care.
