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Title: Surgical anatomy in lung resections
標(biāo)題:肺切除手術(shù)解剖學(xué)
Content/內(nèi)容:
1) When the thoracic/lung surgery is performed auto-didactically, intraoperative catastrophes and complications are to be expected.
以非正規(guī)方法作胸/肺手術(shù),常可能發(fā)生手術(shù)中災(zāi)難性事故與并發(fā)癥。
2) A typical partial resections must be distinguished from typical resections of anatomical parenchyma units (standard operations).
解剖實(shí)質(zhì)單位的非典型部分切除必須與典型切除(標(biāo)準(zhǔn)手術(shù))區(qū)分。
3) More extensive operations which involve additional lung structures (lung lobes, trachea, bronchi) or attached organs (chest wall, heart, diaphragm etc. ) are technically demanding.
延伸至其他肺結(jié)構(gòu)(肺葉、氣管、支氣管)與臨近器官(胸壁、心、橫膈等)的手術(shù)技術(shù)要求高。
4) The larger the anatomícal unit, the closer to the heart all vessels have to be arranged and, not seldom this means intrapericardially with clamping of the left atrium.
切除解剖部位越大,手術(shù)涉及血管離心臟越近,在心包內(nèi)鉗夾左心房并不少見。
5) All structures of the hilus are suitable for closing with staplers or suture.
肺門所有結(jié)構(gòu)適合作關(guān)閉器或縫線關(guān)閉。
6) In the case of pneumonectomies, central lung structures can be cut most easily by cutting ligaments (Lig. anterior superius, Lig. pulmonale inferius).
在肺切除術(shù)中,通過切除韌帶(上前韌帶和肺下韌帶)可方便地切除中央肺結(jié)構(gòu)。
7) Pictures and photographs demonstrate specialties of topography of bilateral central lung structures in the context of extended resections.
在擴(kuò)大切除術(shù)中,各種影像攝片可顯示雙側(cè)中央肺結(jié)構(gòu)局部解剖的特殊性。
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