肾区手术史的腹腔镜肾癌根治术后气胸的诊治  

Mechanism and preventive measures of pneumothorax in laparoscopic radical nephrectomy with a history of retroperitoneal operation

作　　者：蔡松旺[1] 廖洪映[1] 安军[1] 黄邵洪[1] 翁毅敏[1] 李昀[1] 何锦园[1] 张军航[1] 狄金明[2] 

机构地区：[1]中山大学附属第三医院心胸外科,广州510630 [2]中山大学附属第三医院泌尿外科,广州510630

出　　处：《中华腔镜泌尿外科杂志（电子版）》2014年第6期45-47,共3页Chinese Journal of Endourology(Electronic Edition)

基　　金：广东省科技计划项目(2012B031800063)

摘　　要：目的总结有肾区手术史的腹腔镜肾癌根治术后气胸的诊治体会。方法 2000年1月至2013年8月,中山大学附属第三医院有肾区手术史的腹腔镜肾癌根治术后共发现8例气胸患者,均经胸部X片证实,其中右侧5例,左侧3例。4例患者予以观察保守治疗,4例患者予以胸腔穿刺置管抽气治疗。结果 4例保守观察治疗气胸患者吸收好转后出院,4例行胸腔穿刺置管抽气治疗患者平均带管时间36 h,均好转出院,平均住院时间8 d,无一例患者出现脓胸。结论有肾区手术史的腹腔镜肾癌根治术后并发气胸应及时发现,立刻处理。Objective To study the mechanism, treatment and preventive measures ofpneumothorax in laparoscopic radicat nephrectomy with a history of retroperitoneal operation. Methods From January 2000 to August 2013, the total of 8 patients were confirmed by chest x-ray after laparoscopic radical nephrectomy with a history of retroperitoneal operation in our hospital. The pneumothorax of 5 patients were in the right chest and the other 3 were in the left chest. 4 patients were trader observation and the other 4 patients received thoracocentesis. Results 4 patients under observation were discharged after pneumothorax were absorbed. The other patients under thoracocentesis were cured, the average time with pipe was 36 h and the average duration of hospitalization was 8 d. None of the patients had empyema. Conclusions Pneumothorax in laparoscopic radical nephrectomy with a history of retroperitoneal operation should be timely detected and immediately treated.

关 键 词：腹腔镜 肾癌 气胸 

分 类 号：R737.11[医药卫生—肿瘤]