Kakegawa Seiichi, Kawashima Osamu, Tomizawa Yoshio, Sugano Masayuki, Shimizu Kimihiro
Department of Thoracic Surgery, Nishigunma National Hospital, Shibukawa, Japan.
Kyobu Geka. 2016 Jul;69(7):521-4.
The case was 83-year-old man who had complete situs inversus, and was pointed out to have peripheral adenocarcinoma with the size of 1.8 cm at the left upper lobe( S3). Because of severe emphysema and other multiple comorbidities, left S3 segmentectomy with hilar lymph node sampling was performed using video-assisted thoracic surgery (VATS). Preoperatively, the simulation of operation was performed using the 3 dimension computed tomography images of pulmonary arteriovenous and bronchus (3DCTAB). Postoperative course was uneventful. 3DCTAB was thought to be useful in understanding the anatomical location of pulmonary arteriovenous and bronchus directly, and in performing segmentectomy in the case of situs inversus like this.
该病例为一名83岁男性，患有完全性内脏反位，被诊断为左上叶（S3）周围型腺癌，大小为1.8厘米。由于严重肺气肿和其他多种合并症，采用电视辅助胸腔镜手术（VATS）进行了左S3段切除术并进行了肺门淋巴结采样。术前，使用肺动静脉和支气管的三维计算机断层扫描图像（3DCTAB）进行了手术模拟。术后过程顺利。3DCTAB被认为有助于直接了解肺动静脉和支气管的解剖位置，并有助于在这种内脏反位的病例中进行段切除术。
