Igai Hitoshi, Kamiyoshihara Mitsuhiro, Kawatani Natsuko, Ibe Takashi, Shimizu Kimihiro
Department of General Thoracic Surgery, Maebashi Red Cross Hospital, Maebashi, Japan.
Asian J Endosc Surg. 2014 Nov;7(4):342-4. doi: 10.1111/ases.12127.
A 72-year-old man diagnosed as having primary lung cancer underwent surgical resection using a totally thoracoscopic approach. The thoracoscopic view revealed an incomplete fissure and severe emphysematous change. Therefore, to avoid postoperative air leakage, we decided not to expose the pulmonary artery at the fissure. The inferior pulmonary vein, lower bronchus, and pulmonary artery branches were divided by staplers in a caudal-to-head direction, and then the interlobar area was divided. Postoperative air leakage was not observed.
一名72岁被诊断为原发性肺癌的男性患者接受了全胸腔镜手术切除。胸腔镜视野显示叶间裂不完全且有严重的肺气肿改变。因此，为避免术后漏气，我们决定不在叶间裂处暴露肺动脉。肺下静脉、下支气管和肺动脉分支用吻合器从尾端向头端离断，然后分离叶间区域。术后未观察到漏气。
