电视辅助下左肺前段及舌段切除术治疗不可触及肺结节的安全切缘
Safe resection margin in video-assisted left anterior and lingular segmentectomy for an impalpable lung nodule.
作者信息
Mizuno Kotaro, Sakane Tadashi
机构信息
Department of Thoracic Surgery, Nagoya City East Medical Center, Japan.
Department of Oncology, Immunology and Surgery, Nagoya City University Graduate School of Medical Sciences, Japan.
出版信息
Int J Surg Case Rep. 2019;59:7-10. doi: 10.1016/j.ijscr.2019.04.048. Epub 2019 May 7.
INTRODUCTION
The nodule located at the left anterior segment near the lingular segment is traditionally resected by left upper lobectomy. We performed video-assisted thoracoscopic surgery (VATS) segmentectomy and could achieve a complete resection that is minimally invasive and oncologically sufficient.
PRESENTATION OF CASE
An 82-year-old woman was found to have a nodule in the left anterior segment of the lung on chest computed tomography (CT). The nodule was 1.9 cm in size and strongly suspected to be lung carcinoma. No suspicious regions of metastasis were observed; thus, we diagnosed stage IA2 and decided to perform anterior and lingular segmentectomy by VATS.
DISCUSSION
Because of the location, the tumor is traditionally resected by left upper lobectomy. However, we planned a minimally invasive intervention and performed anterior and lingular segmentectomy by VATS using a CT-guided nodule marking prior to the surgery.
CONCLUSION
This technique resulted in complete tumor resection with minimal adverse effects.
引言
位于左前段靠近舌段的结节传统上通过左上叶切除术进行切除。我们进行了电视辅助胸腔镜手术（VATS）肺段切除术，能够实现微创且肿瘤学上充分的完整切除。
病例介绍
一名82岁女性在胸部计算机断层扫描（CT）中发现左肺前段有一个结节。该结节大小为1.9厘米，高度怀疑为肺癌。未观察到可疑的转移区域；因此，我们诊断为IA2期，并决定通过VATS进行前和舌段切除术。
讨论
由于该肿瘤的位置，传统上通过左上叶切除术进行切除。然而，我们计划进行微创干预，并在手术前使用CT引导下的结节标记通过VATS进行前和舌段切除术。
结论
该技术实现了肿瘤的完整切除，且不良反应最小。
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