Nakayama M, Hosomura M, Yamahata T, Kikuchi K
Department of Surgery, Saitama Medical Center, Saitama Medical School.
Kyobu Geka. 2001 Jan;54(1):31-5.
A 55-year-old woman, who had treated as bronchial asthma for eight months, was admitted to our hospital. Chest CT scan showed a mass in the left main bronchus. Bronchoscopic examination revealed a tumor obstructing the left main bronchus and invading the left lower portion of the trachea. The pathologic diagnosis was adenoid cystic carcinoma. Primary resection of the left main bronchus and the carina with the objective and one-stoma-type carinal reconstruction were performed by the left thoracotomy. We pulled down the aortic arch to obtain an operative field, and carried out the operative procedure at the upper side of the aortic arch. As the resection margin contained residual tumor, the postoperative irradiation (50 Gy) was added.
一名55岁女性，因支气管哮喘接受治疗8个月后入住我院。胸部CT扫描显示左主支气管有一肿块。支气管镜检查发现肿瘤阻塞左主支气管并侵犯气管左下部。病理诊断为腺样囊性癌。通过左胸切口对左主支气管和隆突进行一期切除，并进行直视下单吻合口式隆突重建。我们将主动脉弓下拉以获得手术视野，并在主动脉弓上方进行手术操作。由于切除边缘含有残留肿瘤，术后追加了放疗（50 Gy）。
