器官移植2024，Vol.15Issue(4)：637-642,6.DOI:10.3969/j.issn.1674-7445.2024048
肺移植手术切口发展历程和研究现状
Development course and research status of incisions in lung transplantation
摘要
Abstract
Surgical technique of lung transplantation exerts significant impact on clinical prognosis of the recipients.Choosing an appropriate surgical incision determines the exposure of intraoperative visual field,which is the first step of surgical success and directly affects subsequent surgical procedures.Lung transplantation incision is usually considered as primary closure.Nevertheless,for patients with high-risk factors such as oversized lung allografts and primary graft failure after lung transplantation,primary closure cannot be achieved.Hence,delayed chest closure is an effective strategy.The selection of incisions and the adoption of delayed chest closure of lung transplantation exert profound impact upon perioperative prognosis,long-term quality of life and surgical complications of the recipients.Therefore,the development and research status of Clamshell incision,anterolateral incision,posterolateral incision and median sternal incision in lung transplantation were reviewed,highlighting the effect of incision patterns on clinical prognosis of lung transplantation and providing reference for the selection of incisions in clinical lung transplantation.关键词
肺移植/手术入路/Clamshell切口/前外侧切口/后外侧切口/胸骨正中切口/延迟关胸/手术部位感染Key words
Lung transplantation/Surgical approach/Clamshell incision/Anterolateral incision/Posterolateral incision/Median sternal incision/Delayed chest closure/Surgical site infection分类
医药卫生引用本文复制引用
徐坚,邵景博,陈员,卫栋,叶书高,陈静瑜..肺移植手术切口发展历程和研究现状[J].器官移植,2024,15(4):637-642,6.基金项目
国家自然科学基金面上项目(82070059) （82070059）
无锡医学中心揭榜挂帅项目(WXKY202301001) （WXKY202301001）
