Hunt Ian, Rankin Sheila C, Lang-Lazdunski Loic
Department of Thoracic Surgery, Guy's Hospital, London, United Kingdom.
Eur J Cardiothorac Surg. 2006 Jul;30(1):194-5. doi: 10.1016/j.ejcts.2006.03.055. Epub 2006 May 24.
Surgery may offer a long-term survival benefit to a small proportion of patients with operable non-small cell lung cancer (NSCLC) and solitary adrenal metastasis. Several approaches to lung resection with a separate open or laparoscopic adrenalectomy have been advocated. We describe a technique that allows a single incision, single operation through a transdiaphragmatic approach to the ipsilateral adrenal gland following a standard lung resection through a postero-lateral thoracotomy. By using this approach, along with the harmonic scalpel to aid adrenal dissection, both lobectomy and adrenalectomy can be carried out safely and effectively with minimal perioperative and postoperative morbidity.
手术可能会给一小部分可手术切除的非小细胞肺癌（NSCLC）合并孤立性肾上腺转移的患者带来长期生存益处。目前已经提出了几种行肺切除并单独进行开放性或腹腔镜肾上腺切除术的方法。我们描述了一种技术，该技术允许在通过后外侧开胸进行标准肺切除术后，经膈入路对同侧肾上腺进行单一切口、单次手术。通过使用这种方法，以及使用超声刀辅助肾上腺解剖，肺叶切除术和肾上腺切除术都可以安全有效地进行，围手术期和术后发病率降至最低。
