Sakuma Tsutomu, Sugita Makoto, Sagawa Motoyasu, Ishigaki Masanobu, Toga Hirohisa
Department of Thoracic Surgery, Kanazawa Medical University, Uchinada, Ishikawa, Japan.
Ann Thorac Surg. 2004 Nov;78(5):1844-5. doi: 10.1016/j.athoracsur.2003.07.028.
A 60-year-old woman underwent a video-assisted thoracoscopic wedge resection of intralobar pulmonary sequestration instead of a lobotomy because the lesion was localized in the right basal segment. Preoperative 3-dimensional computed tomography was useful for identifying an aberrant artery arising from the thoracic aorta and distributing to the lesion. A successful outcome more than 4 years after the surgery indicates that a wedge resection under video-assisted thoracoscopy may prove to be a therapeutic option for localized pulmonary sequestration.
一名60岁女性接受了电视辅助胸腔镜下叶内型肺隔离症楔形切除术，而非肺叶切除术，因为病变位于右肺基底段。术前三维计算机断层扫描有助于识别发自胸主动脉并分布至病变处的异常动脉。术后4年多的良好预后表明，电视辅助胸腔镜下楔形切除术可能是局限性肺隔离症的一种治疗选择。
