Prevention and countermeasures for pneumothorax during argon-helium knife cryosurgery in treatment of lung cancer

doi:10.3877/cma.j.issn.2095-5782.2014.02.012

Chinese Journal of Interventional Radiology(Electronic Edition) ›› 2014, Vol. 02 ›› Issue (02): 44-45. doi: 10.3877/cma.j.issn.2095-5782.2014.02.012

Special Issue: ；

• Nonvascular Intervention • Previous Articles Next Articles

Prevention and countermeasures for pneumothorax during argon-helium knife cryosurgery in treatment of lung cancer

Min Jiang¹^,^†(), Qin Zhou¹, Kerui Zhang¹, Minghuan Zuo¹

^1. Department of Oncology, Beijing University of Chinese Medicine, Dongfang Hospital, Beijing 100078, China

Received:2014-01-16 Online:2014-05-01 Published:2014-05-01
Contact: Min Jiang
About author:
Corresponding author: Jiang Min, Email: dongfang jm@126.com

Abstract

Abstract:

Objective

To observe the prevention and countermeasures of pneumothorax during argon-helium knife cryosurgery under the guide of CT in treatment of lung cancer.

Methods

A total of 457 patients were treated with argon-helium knife cryosurgery under the guide of CT, and observed closely during the surgery. The causes of pneumothorax were analyzed, and the effective prevention and countermeasures were summerized.

Results

All patients completed the operation smoothly. No case died. There were 71 cases with pneumothorax, incidence rate of 15.54% (71/457). Thirty-seven cases whose scope of pneumothorax expanded to more than 20% were given to reverse inverse air exhaust. Thirty-five cases were cured with an effective rate of 94.59% (35/37). Postoperative use of inverse air exhaust could prevent the occurrence of pneumothorax.

Conclusions

The argon-helium knife cryosurgery is an effective method with mild rate of pneumothorax, which could recover soon after inverse air exhaust.

Key words: Argon-helium knife, Lung neoplasms, Pneumothorax

Min Jiang, Qin Zhou, Kerui Zhang, Minghuan Zuo. Prevention and countermeasures for pneumothorax during argon-helium knife cryosurgery in treatment of lung cancer[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2014, 02(02): 44-45.

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