Domjan Matic, Mavko Ana, Štupnik Tomaž
Department of Thoracic Surgery, University Medical Centre Ljubljana, Ljubljana, Slovenia.
J Vis Surg. 2017 Sep 30;3:130. doi: 10.21037/jovs.2017.09.04. eCollection 2017.
When it comes to surgical treatment of non-small cell lung cancer (NSCLC), modern principles dictate that every possible effort should be made to avoid pneumonectomy, its debilitating consequences and a higher rate of complications. In marginal cases where video-assisted thoracoscopic surgery (VATS) sleeve or double sleeve lobectomy cannot be performed a conversion to open sleeve lobectomy is always preferred over a VATS pneumonectomy. We present a case of a 64-year-old male patient with two synchronous tumors of the right lung, both centrally located in the right upper and the right lower lobe. A single-port VATS right pneumonectomy was performed. The patient was discharged on the post-operative day 5 in good general condition.
在非小细胞肺癌（NSCLC）的外科治疗中，现代原则要求应尽一切可能避免肺切除术及其带来的虚弱后果和较高的并发症发生率。在边缘病例中，如果无法进行电视辅助胸腔镜手术（VATS）袖状或双袖状肺叶切除术，那么转为开放性袖状肺叶切除术总是优于VATS肺切除术。我们报告一例64岁男性患者，其右肺有两个同时发生的肿瘤，均位于右肺上叶和下叶的中央部位。实施了单孔VATS右肺切除术。患者术后第5天出院，一般状况良好。
