Katakura Hiromichi, Yutaka Yojiro, Takahashi Kenichi, Shoji Tsuyoshi, Yamanaka Akira, Kitano Mitsuru
Department of Thoracic Surgery and Respiratory Medicine, Department of Cardiovascular Surgery, Otsu Red Cross Hospital, Nagara 1-1-35, Otsu, Shiga, 520-8511, Japan.
Surg Case Rep. 2017 Dec;3(1):11. doi: 10.1186/s40792-016-0279-6. Epub 2017 Jan 9.
Median sternotomy is frequently selected for the resection of pulmonary artery tumor, and pneumonectomy is performed for complete resection. However, it is difficult to see the inferior pulmonary vein and transect it safely via median sternotomy, so additional thoracotomy is often required and this is highly invasive. In the present case, we employed thoracoscopy (which we routinely use for VATS lobectomy) to transect the inferior pulmonary vein via median sternotomy without additional intercostal thoracotomy. This method has advantages for patients undergoing pneumonectomy via median sternotomy.
肺动脉肿瘤切除术常选择正中胸骨切开术，并进行肺切除术以实现完全切除。然而，通过正中胸骨切开术很难看到下肺静脉并安全地横断它，因此通常需要额外的开胸手术，这具有很高的侵入性。在本病例中，我们采用胸腔镜（我们常规用于电视辅助胸腔镜肺叶切除术）通过正中胸骨切开术横断下肺静脉，而无需额外的肋间开胸手术。这种方法对于通过正中胸骨切开术进行肺切除术的患者具有优势。
