Division of Surgical Oncology, Department of Translational Medical Sciences, Nagasaki, Japan.
Ann Thorac Surg. 2012 Nov;94(5):e115-6. doi: 10.1016/j.athoracsur.2012.04.137.
Anatomic variations of the pulmonary artery increase the risks for vessel injury and critical mistakes during pulmonary artery resection. A patient who underwent left lower lobectomy for lung cancer with a mediastinal lingular and basal pulmonary artery that had been detected preoperatively by three-dimensional computed tomography is presented. During thoracoscopic surgery, the mediastinal basal pulmonary arteries were found with careful dissection. The pulmonary arteries were divided, and left lower lobectomy was performed safely. This rare variation of the left pulmonary artery is important to detect before lobectomy to ensure safe surgery. In such cases, three-dimensional computed tomography is necessary.
解剖学变异的肺动脉增加了血管损伤的风险,并在肺动脉切除术中犯关键错误。本文报告了 1 例因肺癌而行左下肺叶切除术的患者,术前通过三维 CT 检测到中叶和基底段肺动脉。在胸腔镜手术中,通过仔细解剖发现纵隔基底段肺动脉。肺动脉被切断,左下肺叶切除术安全完成。左肺动脉的这种罕见变异在肺叶切除术前需要检测,以确保手术安全。在这种情况下,需要进行三维 CT 检查。