使用虚拟辅助肺标测技术切除同期双侧多发肺腺癌
Resection of synchronous bilateral multiple lung adenocarcinomas using virtual-assisted lung mapping.
作者信息
Imanishi Naoko, Shinohara Shuichi, Kuwata Taiji, Tanaka Fumihiro
机构信息
Second Department of Surgery, University of Occupational and Environmental Health, Iseigaoka 1-1, Yahata-nishi-ku, Kitakyusyu, 807-8555, Japan.
出版信息
Surg Case Rep. 2018 Apr 4;4(1):30. doi: 10.1186/s40792-018-0441-4.
BACKGROUND
Virtual-assisted lung mapping (VAL-MAP) is a novel marking technique to assist sub-lobar resection of small hardly palpable lung tumors. Here, we present the first case of synchronous bilateral multiple lung adenocarcinomas that were successfully resected with VAL-MAP navigation.
CASE PRESENTATION
A 73-year-old female with multiple nodules (1 in the right upper lobe, 2 in the right lower lobe, 1 in the left upper lobe, and 1 in the left lower lobe) was referred. Complete resection was achieved with left lower lobectomy in combination with sub-lobar resections (wedge resection for a lesion in the left upper lobe, segmentectomy for a lesion in the right upper lobe, and complex segmentectomy for lesions in the right lower lobe) in which resection lines with securing adequate margins were determined with VAL-MAP navigation.
CONCLUSIONS
VAL-MAP is useful in sub-lobar resections including complex segmentectomy for multiple lung adenocarcinomas.
背景
虚拟辅助肺绘图（VAL-MAP）是一种新型的标记技术，用于辅助难以触及的小肺肿瘤的亚肺叶切除。在此，我们展示了首例通过VAL-MAP导航成功切除的同步双侧多发性肺腺癌病例。
病例介绍
一名73岁女性，有多个结节（右上叶1个，右下叶2个，左上叶1个，左下叶1个）。通过左下叶切除术联合亚肺叶切除术（左上叶病变行楔形切除术，右上叶病变行节段切除术，右下叶病变行复杂节段切除术）实现了完全切除，其中通过VAL-MAP导航确定了具有足够切缘的切除线。
结论
VAL-MAP在包括复杂节段切除术在内的多发性肺腺癌亚肺叶切除术中有用。
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