https://scholars.lib.ntu.edu.tw/handle/123456789/493591
標題: | Thoracoscopic diaphragmatic repair for refractory hepatic hydrothorax: Application of pleural flap and mesh onlay reinforcement | 作者: | PEI-MING HUANG SHUENN-WEN KUO JANG-MING LEE |
公開日期: | 2006 | 卷: | 54 | 期: | 1 | 起(迄)頁: | 47-50 | 來源出版物: | Thoracic and Cardiovascular Surgeon | 摘要: | Background: Management of hepatic hydrothorax is difficult, and no radical treatment has been established. Based on accumulating evidence that diaphragmatic defects contribute to hepatic hydrothorax, we developed a diaphragmatic repair method for the management of this complex condition. Methods: From October 2003 to March 2005,10 patients (age, 32-83 years; 6 men and 4 women) with refractory hepatic hydrothorax (Child-Pugh class B-C) underwent thoracoscopic pleura (n = 7) or mesh (n = 3) onlay reinforcement to repair the diaphragmatic defects on which this study focuses, and all patients have since been under follow-up in a prospective observation study. Results: After a mean of 7.7 months of follow-up examinations, no local recurrence occurred in all patients. Two patients died of hemorrhage from esophageal varices two months postoperatively. All patients had a better postoperative pulmonary function. Conclusion: The use of pleura and mesh onlay reinforcement of the diaphragm is an encouraging treatment for refractory hepatic hydrothorax. ? Georg Thieme Verlag KG. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-32544440454&doi=10.1055%2fs-2005-865876&partnerID=40&md5=37e2a3742a386c3ab7ebbde9db91d170 https://scholars.lib.ntu.edu.tw/handle/123456789/493591 |
ISBN: | 16485189 | ISSN: | 0171-6425 | DOI: | 10.1055/s-2005-865876 | SDG/關鍵字: | adult; aged; article; bleeding; clinical article; clinical observation; diaphragm injury; diaphragm repair; esophagus varices; female; follow up; hepatic hydrothorax; human; liver disease; lung function; male; pleura; pleural flap and mesh onlay reinforcement; postoperative period; priority journal; prospective study; skin flap; surgical technique; thoracoscopy; tissue repair; Adult; Aged; Aged, 80 and over; Diaphragm; Esophageal and Gastric Varices; Female; Follow-Up Studies; Humans; Hydrothorax; Liver Cirrhosis; Male; Middle Aged; Pleural Effusion; Prospective Studies; Surgical Flaps; Surgical Mesh; Survival Analysis; Thoracoscopy; Treatment Outcome |
顯示於: | 醫學系 |
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