Lin Zongwu, Xu Songtao, Wang Qun
Department of Thoracic Surgery, Fudan University, Zhongshan Hospital, Shanghai 200032, China.
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。
