接受胸腔镜肺叶切除术患者肺静脉引流的常见及罕见变异
Common and Uncommon Variations of Pulmonary Venous Drainage in Patients Undergoing Thoracoscopic Lobectomy.
作者信息
Amore Dario, Casazza Dino, Imitazione Pasquale, Curcio Carlo
机构信息
Department of Thoracic Surgery, Monaldi Hospital, Naples, Italy.
Department of Respiratory Diseases, University of Naples Federico II, Monaldi Hospital, Naples, Italy.
出版信息
Thorac Cardiovasc Surg. 2020 Apr;68(3):256-260. doi: 10.1055/s-0039-1684000. Epub 2019 Apr 19.
BACKGROUND
Variations in pulmonary venous anatomy should not be undermined by thoracic surgeons during procedures which involve the pulmonary veins.
METHODS
We have identified vascular anomalies in 25 of 346 patients undergoing video-assisted thoracoscopic surgery lobectomy at our Thoracic Surgery Unit, between December 2016 and November 2018.
RESULTS
Some vascular anomalies described have not been reported in recent literature and include right V draining into the middle lobe pulmonary vein, accessory right V behind the bronchus intermedius, two V from the apical segment of left lower lobe, two V from the apical segment of right lower lobe, and one of them draining into the superior pulmonary vein.
CONCLUSION
Thoracic surgeons should be aware of this type of anomalies because failure in the preoperative or intraoperative identification of the pulmonary venous variations may lead to serious complications.
背景
在涉及肺静脉的手术过程中，胸外科医生不应忽视肺静脉解剖结构的变异。
方法
2016年12月至2018年11月期间，我们在胸外科对346例行电视辅助胸腔镜手术肺叶切除术的患者中的25例进行了血管异常的识别。
结果
一些所描述的血管异常在近期文献中尚未见报道，包括右肺静脉汇入中叶肺静脉、中间支气管后方的副右肺静脉、左下叶尖段的两条肺静脉、右下叶尖段的两条肺静脉，其中一条汇入上肺静脉。
结论
胸外科医生应了解这类异常情况，因为术前或术中未能识别肺静脉变异可能导致严重并发症。
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