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肺切除术中使用自体肺静脉补片进行肺动脉重建。

Pulmonary artery reconstruction using an autologous pulmonary vein patch in pulmonary resection.

作者信息

Tsunezuka Hiroaki, Ishikawa Narumi, Nishimura Tomoki, Inoue Masayoshi

机构信息

Division of Thoracic Surgery, Department of Surgery, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto, 602-8566, Japan.

出版信息

Gen Thorac Cardiovasc Surg. 2019 Jun;67(6):569-571. doi: 10.1007/s11748-018-1028-5. Epub 2019 Jan 2.

DOI:10.1007/s11748-018-1028-5
PMID:30604239
Abstract

Pulmonary artery (PA) reconstruction has been accepted to avoid pneumonectomy in locally advanced lung cancer surgery because of its satisfactory outcomes with regard to long-term survival and its low postoperative morbidity and mortality rates. Several techniques of PA reconstruction have been documented. However, the availability of PA reconstruction using an autologous pulmonary vein (PV) patch is unclear. Here, we present a patient who successfully underwent PA reconstruction using an autologous PV patch during resection of a lung adenocarcinoma (cT2aN1M0: stage IIB) in the left upper lobe with hilar extension and left main PA invasion.

摘要

肺动脉（PA）重建已被认可用于局部晚期肺癌手术，以避免肺切除术，因为其在长期生存方面有令人满意的结果，且术后发病率和死亡率较低。已有多种肺动脉重建技术的文献记载。然而，使用自体肺静脉（PV）补片进行肺动脉重建的可行性尚不清楚。在此，我们报告一例患者，在切除左上叶伴有肺门浸润和左主肺动脉侵犯的肺腺癌（cT2aN1M0：IIB期）时，成功使用自体肺静脉补片进行了肺动脉重建。

相似文献

1
Pulmonary artery reconstruction using an autologous pulmonary vein patch in pulmonary resection.肺切除术中使用自体肺静脉补片进行肺动脉重建。
Gen Thorac Cardiovasc Surg. 2019 Jun;67(6):569-571. doi: 10.1007/s11748-018-1028-5. Epub 2019 Jan 2.
2
Pulmonary artery reconstruction with pulmonary vein conduit for lung cancer: medium-term results.肺动脉重建伴肺静脉移植物在肺癌治疗中的应用：中期结果。
Ann Thorac Surg. 2014 Sep;98(3):990-5. doi: 10.1016/j.athoracsur.2014.04.110. Epub 2014 Jul 16.
3
Long-segment pulmonary artery resection to avoid pneumonectomy: long-term results after prosthetic replacement.长段肺动脉切除避免全肺切除术：人工血管置换的长期结果。
Eur J Cardiothorac Surg. 2018 Feb 1;53(2):331-335. doi: 10.1093/ejcts/ezx353.
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Pulmonary artery reconstruction with a tailor-made bovine pericardial conduit following sleeve resection of a long segmental pulmonary artery for the treatment of lung cancer: technical details of the dog-ear method for adjusting diameter during vascular anastomosis.在对肺癌患者进行长节段肺动脉袖状切除术后，使用特制牛心包管道进行肺动脉重建：血管吻合术中“狗耳”法调整直径的技术细节。
Gen Thorac Cardiovasc Surg. 2017 May;65(5):304-307. doi: 10.1007/s11748-016-0725-1. Epub 2016 Oct 31.
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Surgical techniques and results of the pulmonary artery reconstruction for patients with central non-small cell lung cancer.中央型非小细胞肺癌患者肺动脉重建的手术技术及结果
J Cardiothorac Surg. 2013 Dec 1;8:219. doi: 10.1186/1749-8090-8-219.
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J Thorac Cardiovasc Surg. 2009 Nov;138(5):1185-91. doi: 10.1016/j.jtcvs.2009.07.043. Epub 2009 Sep 9.
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Pulmonary artery reconstruction using autologous pericardium or azygos venae substitute for surgical treatment of central non-small cell lung cancer.使用自体心包或奇静脉替代物进行肺动脉重建，用于治疗中央型非小细胞肺癌的外科手术。
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Surgical outcome of pulmonary artery reconstruction using the expanded polytetrafluoroethylene patch in patients with lung cancer.肺癌患者应用膨体聚四氟乙烯补片行肺动脉重建的手术效果。
Surg Today. 2019 Sep;49(9):778-784. doi: 10.1007/s00595-019-01803-y. Epub 2019 Apr 1.

本文引用的文献

1
Long-segment pulmonary artery resection to avoid pneumonectomy: long-term results after prosthetic replacement.长段肺动脉切除避免全肺切除术：人工血管置换的长期结果。
Eur J Cardiothorac Surg. 2018 Feb 1;53(2):331-335. doi: 10.1093/ejcts/ezx353.
2
Pulmonary artery reconstruction using autologous pulmonary vein for surgical treatment of locally advanced lung cancer: a case report.使用自体肺静脉进行肺动脉重建术治疗局部晚期肺癌：一例报告
Surg Case Rep. 2016 Dec;2(1):46. doi: 10.1186/s40792-016-0174-1. Epub 2016 May 24.
3
Surgical Techniques and Long-Term Results of Pulmonary Artery Reconstruction in Patients With Lung Cancer.
肺癌患者肺动脉重建的手术技术及长期结果
Ann Thorac Surg. 2015 Oct;100(4):1196-202; discussion 1202. doi: 10.1016/j.athoracsur.2015.04.124. Epub 2015 Jul 21.
4
Pulmonary artery reconstruction with pulmonary vein conduit for lung cancer: medium-term results.肺动脉重建伴肺静脉移植物在肺癌治疗中的应用：中期结果。
Ann Thorac Surg. 2014 Sep;98(3):990-5. doi: 10.1016/j.athoracsur.2014.04.110. Epub 2014 Jul 16.
5
Experience with the autologous pulmonary vein for pulmonary arterioplasty.自体肺静脉在肺动脉成形术中的应用经验。
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Lobectomy with pulmonary artery resection: morbidity, mortality, and long-term survival.肺叶切除术联合肺动脉切除术：发病率、死亡率及长期生存率
J Thorac Cardiovasc Surg. 2009 Jun;137(6):1400-5. doi: 10.1016/j.jtcvs.2008.11.002. Epub 2009 Feb 23.
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Reconstruction of the pulmonary artery.肺动脉重建术。
Semin Thorac Cardiovasc Surg. 2006 Summer;18(2):104-8. doi: 10.1053/j.semtcvs.2006.05.004.