Igai Hitoshi, Kamiyoshihara Mitsuhiro, Kawatani Natsuko, Ibe Takashi
Department of General Thoracic Surgery, Maebashi Red Cross Hospital, Maebashi, Japan.
Eur J Cardiothorac Surg. 2017 Apr 1;51(4):790-791. doi: 10.1093/ejcts/ezw339.
The appropriate lateral and posterior basal (S9 + 10) segmentectomy requires exposure and recognition of common basal pulmonary vein branches located deeply in the lung parenchyma. Therefore, we applied the intersegmental tunnelling method in S9 + 10 segmentectomy to recognize the dominant veins to the S9 + 10 segment accurately. Between April 2014 and December 2015, five patients underwent thoracoscopic S9 + 10 segmentectomy using intersegmental tunnelling. By using this technique, we can recognize the branches of the pulmonary vein to the affected S9 + 10 segment accurately. This technique can let us perform appropriate S9 + 10 segmentectomy.
合适的外侧和后基底段(S9+10)切除术需要暴露并识别位于肺实质深部的共同基底肺静脉分支。因此,我们在S9+10段切除术中应用节段间隧道技术来准确识别引流至S9+10段的主要静脉。在2014年4月至2015年12月期间,5例患者接受了使用节段间隧道技术的胸腔镜S9+10段切除术。通过使用该技术,我们能够准确识别受累S9+10段的肺静脉分支。该技术可使我们实施合适的S9+10段切除术。