タシマ ユウコ   Tashima Yuko
  田嶋 裕子
   所属   産業医科大学病院  診療科 呼吸器・胸部外科
   職種   助教
論文種別 原著
言語種別 日本語
査読の有無 査読あり
表題 [Intrapericardial Vessel Management for Lung Cancer Surgery].
掲載誌名 正式名:Journal of UOEH
略  称:J UOEH
ISSNコード:0387821X/0387821X
掲載区分国外
巻・号・頁 37(3),191-4頁
著者・共著者 Oka Soichi, Matsumiya Hiroki, Shinohara Syuichi, Kuwata Taiji, Takenaka Masaru, Chikaishi Yasuhiro, Hirai Ayako, Tashima Yuko, Imanishi Naoko, Nagata Yoshika, Kuroda Koji, Uramoto Hidetaka, Tanaka Fumihiro
発行年月 2015/09
概要 Intrapericardial vessel management is one of the necessary techniques for respiratory surgeons. We collected cases that had undergone intrapericardial vessel management for lung cancer, and herein discuss the practical performance and safety of this treatment method. We identified 23 (5.6%) of 413 patients who had undergone lung cancer surgery during the 30-month period from January 2011 to June 2013 at our institution. Twenty cases had large sized tumors near the hilum. Three cases demonstrated severe adhesion in the intrathoracic region due to a previous operation. The lung cancer staging was stage ⅠA in 1 case, stage ⅠB in 4 cases, stage ⅡB in 5 cases, stage ⅢA in 11 cases, stage ⅢB in 1 case, and stage Ⅳ in 1 case. We performed lobectomy in 11 cases, bilobectomy in 6 cases, and pneumonectomy in 6 cases. The average operation time was 366 minutes (137-965). Post operative complications were observed in five cases, including two cases of air-leakage and three cases of arrhythmia. All cases were able to walk on foot at discharge. It is important to clearly understand intrapericardial anatomy in order to carry out successful intrapericadial vessel management.
DOI 10.7888/juoeh.37.191
PMID 26370042