Development course and research status of incisions in lung transplantation
10.3969/j.issn.1674-7445.2024048
- VernacularTitle:肺移植手术切口发展历程和研究现状
- Author:
Jian XU
1
;
Jingbo SHAO
;
Yuan CHEN
;
Dong WEI
;
Shugao YE
;
Jingyu CHEN
Author Information
1. 214023 江苏无锡,南京医科大学无锡医学中心 无锡市人民医院南京医科大学附属无锡人民医院肺移植中心
- Keywords:
Lung transplantation;
Surgical approach;
Clamshell incision;
Anterolateral incision;
Posterolateral incision;
Median sternal incision;
Delayed chest closure;
Surgical site infection
- From:
Organ Transplantation
2024;15(4):637-642
- CountryChina
- Language:Chinese
-
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.
