Second Department of Surgery, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Second Department of Surgery, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Ann Thorac Surg. 2019 Jul;108(1):e61-e63. doi: 10.1016/j.athoracsur.2019.01.042. Epub 2019 Feb 27.
We thoracic surgeons sometimes face a problem of high-caliber mismatch in sleeve lobectomy. The large size disparity between the proximal and distal stump requires not only an appropriate anastomotic technique but also an appropriate approach to the stumps. We report a case of a simple carinal cartilage suture helping correct high-caliber mismatch in right upper lobe sleeve lobectomy. Sutures on the anterior wall of the carinal cartilage effectively reduced the size disparity of the stumps. This approach could be a complementary option for high-caliber mismatch in right upper lobe sleeve lobectomy.
我们胸外科医生有时会面临袖状肺叶切除术的高口径不匹配问题。近端和远端残端之间的巨大尺寸差异不仅需要合适的吻合技术，还需要合适的残端处理方法。我们报告了一例通过简单的隆突软骨缝合来帮助纠正右上叶袖状肺叶切除术中高口径不匹配的病例。隆突软骨前壁的缝线有效地减少了残端的尺寸差异。这种方法可能是右上叶袖状肺叶切除术中高口径不匹配的一种补充选择。
