Department of Thoracic Surgery and Oncology, National Cancer Institute, Pascale Foundation, Naples, Italy.
Ann Thorac Surg. 2011 Aug;92(2):744-5. doi: 10.1016/j.athoracsur.2011.03.019.
A 38-year-old man was diagnosed with fibrous dysplasia of the anterolateral segment of the fifth rib by core biopsy. A decision was made to resect the rib by video-assisted thoracic surgery (VATS) taking care to preserve the muscle and overlying myodermal layers. Subsequent reconstruction was done using a straight titanium plate locked in place under thoracoscopic guidance to avoid friction of the plate on the skin and to verify that the transfixed screws would not injure the lung or the pericardium. The patient made an uneventful recovery and was dismissed on day 2 after surgery. Final diagnosis confirmed fibrous dysplasia.
一名 38 岁男性经核心活检诊断为第 5 肋前外侧段纤维结构不良。决定通过电视辅助胸腔镜手术（VATS）切除肋骨，注意保护肌肉和覆盖的肌层。随后使用直型钛板进行重建，在胸腔镜引导下锁定，以避免板片与皮肤摩擦，并确认贯穿固定的螺钉不会损伤肺或心包。患者术后恢复顺利，第 2 天出院。最终诊断为纤维结构不良。
