首页> 外国专利> METHOD FOR LYMPH NODE BIOPSY WITH INTRATHORACIC LYMPHADENOPATHY USING VIDEO-ASSISTED THORACOSCOPY

METHOD FOR LYMPH NODE BIOPSY WITH INTRATHORACIC LYMPHADENOPATHY USING VIDEO-ASSISTED THORACOSCOPY

机译:视频胸腔镜检查术治疗胸腔内淋巴结肿大的淋巴结活检方法

摘要

Method for lymph node biopsy with intrathoracic lymphadenopathy using video-assisted thoracoscopy involves the performing of surgery under general anesthesia with separate intubation of main bronchi and one-lung artificial ventilation from the contralateral side, the introduction of thoracoport for optics, examination of pleural cavity, and the selection of a location for an instrumental thoracoport. In the preoperative period, an artificial diagnostic pneumothorax is induced on the affected side followed by a spiral CT, whereafter VATS is performed under general anesthesia with continuous image video recording, and mediastinal tissue in the biopsy area is hydraulically dissected by injecting a 5% aminocaproic acid solution below the mediastinal pleura. Changed mediastinal lymph nodes, or the conglomerate of lymph nodes are removed in one piece for subsequent cytological, histological and microbiological examination thereof. In the removed lymph nodes bed a hemostatic sponge is laid, and in the end of the surgery 10.0 mL of 0.2% ropivacaine solution is injected intrapleurally.
机译:使用电视胸腔镜进行胸腔内淋巴结肿大的淋巴结活检的方法包括在全身麻醉下进行手术,对侧分别进行主支气管插管和单肺人工通气,引入胸腔镜进行光学检查,检查胸膜腔,以及选择仪器胸腔的位置。在术前,在患侧进行人工诊断性气胸,然后进行螺旋CT,然后在全麻下进行VATS并连续记录影像,并通过注射5%的氨基己酸水洗解剖活检区域的纵隔组织。酸性溶液在纵隔胸膜以下。改变的纵隔淋巴结或淋巴结的聚集体被一整块取出,用于随后的细胞学,组织学和微生物学检查。在取出的淋巴结床上放一块止血海绵,在手术结束时将10.0 mL的0.2%罗哌卡因溶液注入胸膜腔。

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