单孔电视辅助胸腔镜手术在半俯卧位下行右上肺叶切除术并系统性淋巴结清扫术。
Uniportal video-assisted thoracoscopic surgery right upper lobectomy with systematic lymphadenectomy in a semiprone position.
作者信息
Lin Zongwu, Xu Songtao, Wang Qun
机构信息
Department of Thoracic Surgery, Fudan University, Zhongshan Hospital, Shanghai 200032, China.
出版信息
J Thorac Dis. 2014 Dec;6(12):1840-2. doi: 10.3978/j.issn.2072-1439.2014.11.22.
A 53-year-old male smoker was referred to our hospital with an enlarged lesion in the right upper lung. Computed tomography (CT) showed a 1.5 cm solid lesion with pleural indentation in the right upper lobe adjacent to the oblique fissure. The preoperative clinical diagnosis was stage I primary lung cancer. Uniportal video-assisted thoracoscopic surgery (VATS) right upper lobectomy in a semiprone position was performed in this case. Frozen section examination confirmed the diagnosis of lung adenocarcinoma, and systematic lymphadenectomy was then performed. A chest tube was placed at the posterior part of the incision through the dorsal thoracic cavity to the apex. The postoperative pathologic diagnosis was T2aN0M0 adenocarcinoma.
一名53岁男性吸烟者因右上肺出现增大病变被转诊至我院。计算机断层扫描（CT）显示右上叶靠近斜裂处有一个1.5厘米的实性病变，伴有胸膜凹陷。术前临床诊断为I期原发性肺癌。该病例采用半俯卧位单孔电视辅助胸腔镜手术（VATS）行右上叶切除术。冰冻切片检查确诊为肺腺癌，随后进行了系统性淋巴结清扫术。通过胸腔后份从切口至肺尖放置一根胸管。术后病理诊断为T2aN0M0腺癌。
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