Hamaji Masatsugu, Tanaka Toru, Morikawa Hiromasa, Ueno Yoichiro
Department of Thoracic Surgery, National Hospital Organization, Nagara Medical Center, Gifu, Japan.
Gen Thorac Cardiovasc Surg. 2009 May;57(5):258-60. doi: 10.1007/s11748-008-0350-8. Epub 2009 May 15.
A carinal tumor was detected in a 65-year-old male patient by preoperative bronchoscopic examination but was not diagnosed on simultaneous transbronchial biopsy. Also, a right lower bronchial tumor was diagnosed as squamous cell carcinoma. Resection of the carinal tumor and right lower lobectomy were performed simultaneously. We performed a modified one-stomatype carinal reconstruction and flap bronchoplasty to prevent complications on anastomosis. This case report illustrates that these procedures represent useful options for carinal-bronchial reconstruction.
一名65岁男性患者在术前支气管镜检查中发现了隆突肿瘤，但在同期经支气管活检时未确诊。此外，右下支气管肿瘤被诊断为鳞状细胞癌。同时进行了隆突肿瘤切除和右下肺叶切除术。我们进行了改良的单吻合口式隆突重建和皮瓣支气管成形术，以预防吻合口并发症。本病例报告表明，这些手术是隆突-支气管重建的有用选择。
