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使用无开窗腔内移植物全层切除侵犯主动脉弓的肺癌。

Oncological resection of lung cancer invading the aortic arch In full thickness using a non-fenestrated endograft.

作者信息

Santana-Rodríguez Norberto, Martel Efrén, Clavo Bernardino, Llontop Pedro, Calderón-Murgas César, Raad Wissam N, Alshehri Khalid, Ayub Adil, Jenny Huang Chyun-Yin, Hussein Mohamed, Alayón Santiago, Bhora Faiz Y

机构信息

Department of Thoracic Surgery, Mount Sinai Health System, New York, New York.

Instituto Universitario de Investigaciones Biomédicas y Sanitarias (IUIBS)-BioPharm Group, Universidad de Las Palmas de Gran Canaria, Las Palmas, Spain.

出版信息

J Surg Oncol. 2016 Sep;114(4):412-5. doi: 10.1002/jso.24359. Epub 2016 Aug 22.

Abstract

T4 lung cancer invading the full thickness of the aortic arch was completely removed in a 78-year-old lady using a non-fenestrated endograft closing the left subclavian artery origin without performing surgical revascularization. Left thoracotomy and upper lobectomy with resection of superior segment of the lower lobe and full thickness of the infiltrated aorta was performed without covering the aortic defect. The margins of the specimen were free of tumor. The patient survived 32 months. J. Surg. Oncol. 2016;114:412-415. © 2016 Wiley Periodicals, Inc.

摘要

一名78岁女性患者,其T4期肺癌侵犯主动脉弓全层,通过使用非开窗型腔内移植物封闭左锁骨下动脉起始部,未进行外科血管重建,成功将肿瘤完全切除。手术采用左胸切口,行上叶切除术,并切除下叶上段及浸润主动脉的全层,未覆盖主动脉缺损处。标本切缘未见肿瘤。患者存活了32个月。《外科肿瘤学杂志》2016年;114:412 - 415。©2016威利期刊公司

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