open access

https://hdl.handle.net/2115/89318

A novel edge-marking method in pleural covering with video-assisted thoracic surgery

英語

Oxidized cellulose mesh

2023-03

Oxford University Press

Interdisciplinary Cardiovascular and Thoracic Surgery

36(3)

ivad046

Total pleural covering is implemented to reinforce the visceral pleura with surgical sheets. It has been adopted for diffuse cystic lung diseases such as lymphangioleiomyomatosis to prevent pneumothorax and has achieved good results. The procedure is technically demanding, because it is difficult to cover the entire visceral pleura without disarrangement and jamming of surgical sheets, especially during thoracoscopic surgery, where grasping of a wrong site might happen when unfolding the sheets. Herein, we report a technique to cover the entire pleura with dotted line folded sheets to ease the thoracoscopic procedure. We found that the use of this marking method made the procedure easier, with just a little ingenuity, because marking the edges of sheets with dashed lines clarifies the site that should be grasped, thus preventing the incidence of grasping the wrong part of the sheet. Pleural covering with dotted line folded surgical sheets is a useful method for reduced port thoracoscopic surgery. Pleural covering using regenerative oxidized cellulose mesh is a surgical procedure devised to prevent the recurrence of diffuse cystic lung disease such as lymphangioleiomyomatosis (LAM).

学術雑誌論文

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