Department of Thoracic Surgery, Kyoto University Hospital, Kyoto, Japan.
Department of Thoracic Surgery, Kyoto University Hospital, Kyoto, Japan.
Ann Thorac Surg. 2019 May;107(5):e341-e343. doi: 10.1016/j.athoracsur.2018.09.013. Epub 2018 Oct 25.
A 51-year-old man presented to us for potential salvage surgery for local recurrence of a squamous cell carcinoma originating in the left lower lobe after definitive chemoradiotherapy. Salvage sleeve lower lobectomy was initially planned; however, intraoperatively the interlobar pulmonary artery was difficult to separate from the bronchus. To safely spare the upper lobe, we performed ex vivo sleeve lower lobectomy, followed by autotransplantation of the upper lobe. No major postoperative complication was noted and the patient has returned to normal life without recurrence for 9 months.
一位 51 岁男性因左肺下叶起源的鳞状细胞癌经根治性放化疗后局部复发就诊，我们对其进行了潜在的挽救性手术。最初计划进行挽救性袖状肺叶切除术；然而，术中发现叶间肺动脉很难与支气管分离。为了安全地保留上叶，我们进行了离体袖状肺叶切除术，然后进行了上叶自体移植。术后无重大并发症，患者已恢复正常生活，9 个月内无复发。
