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肺移植手术切口发展历程和研究现状

徐坚, 邵景博, 陈员, 等. 肺移植手术切口发展历程和研究现状[J]. 器官移植. doi: 10.3969/j.issn.1674-7445.2024048
引用本文: 徐坚, 邵景博, 陈员, 等. 肺移植手术切口发展历程和研究现状[J]. 器官移植. doi: 10.3969/j.issn.1674-7445.2024048
Xu Jian, Shao Jingbo, Chen Yuan, et al. Development course and research status of incisions in lung transplantation[J]. ORGAN TRANSPLANTATION. doi: 10.3969/j.issn.1674-7445.2024048
Citation: Xu Jian, Shao Jingbo, Chen Yuan, et al. Development course and research status of incisions in lung transplantation[J]. ORGAN TRANSPLANTATION. doi: 10.3969/j.issn.1674-7445.2024048

肺移植手术切口发展历程和研究现状

doi: 10.3969/j.issn.1674-7445.2024048
基金项目: 国家自然科学基金面上项目(82070059);无锡医学中心揭榜挂帅项目(WXKY202301001)
详细信息
    作者简介:
    通讯作者:

    陈静瑜(ORCID 0000-0002-2127-1788),主任医师,研究方向为肺移植,Email:chenjy@wuxiph.com

  • 中图分类号: R617, R563

Development course and research status of incisions in lung transplantation

More Information
  • 摘要: 肺移植手术技术对于受者的临床预后有着显著的影响,选择合适的手术切口决定了术中的视野暴露,是手术顺利进行的第一步,直接影响后续的手术进程。肺移植切口通常默认一期关闭,但对于肺移植术毕存在如供肺过大、原发性移植物失功等高危因素患者,不能一期关闭切口,此时延迟关胸是一种应对策略。肺移植手术切口的选择及是否延迟关闭,对于肺移植围手术期预后、受者远期生存质量、手术并发症有着深远的影响。因此,本文结合国内外文献对肺移植Clamshell切口、前外侧切口、后外侧切口、胸骨正中切口的发展和研究现状进行综述,聚焦切口对肺移植预后的影响,为临床肺移植手术切口选择提供参考。

     

  • 图  1  肺移植经典手术入路

    注:A为Clamshell切口;B为前外侧切口(右侧切口右侧视图);C为后外侧切口(右侧切口俯视);D为胸骨正中切口。

    Figure  1.  Classical surgical approaches of lung transplantation

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  • 收稿日期:  2024-02-14
  • 网络出版日期:  2024-04-28

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