Nakanishi Ryoichi, Hirai Ayako, Muranaka Kenji, Shinohara Koichi
Departments of Thoracic Surgery, Shin-Kokura Hospital, Federation of National Public Service, Personnel Mutual Aid Associations, Kanada 1-3-1, Kitakyushu, Japan.
Surg Laparosc Endosc Percutan Tech. 2007 Dec;17(6):562-4. doi: 10.1097/SLE.0b013e31813e66d3.
In terms of perioperative management, it is extremely difficult to perform a video-assisted thoracic surgery lobectomy for primary lung cancer in patients previously undergoing a contralateral pneumonectomy. We herein describe the successful video-assisted thoracic surgery lobectomy with systematic mediastinal lymph node dissection in a single-lung patient with clinical stage IA nonsmall cell lung cancer. Our experience indicates surgeons may consider the procedure if the following conditions are met: (1) satisfactory pulmonary function, (2) the selective bronchial blockade of the lobe to be resected, and (3) the effective retraction of the inflated lung.
在围手术期管理方面，对于先前接受过对侧肺切除术的原发性肺癌患者，进行电视辅助胸腔镜肺叶切除术极为困难。我们在此描述了一例临床分期为IA期的非小细胞肺癌单肺患者成功进行电视辅助胸腔镜肺叶切除术并系统性纵隔淋巴结清扫的病例。我们的经验表明，如果满足以下条件，外科医生可以考虑该手术：（1）肺功能良好；（2）对拟切除肺叶进行选择性支气管封堵；（3）对膨胀肺进行有效牵拉。
