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茎-分支法:一种用于胸腔镜 S9-10 节段切除术的解剖结构跟踪新方法。

Stem-Branch: A Novel Method for Tracking the Anatomy During Thoracoscopic S9-10 Segmentectomy.

机构信息

Department of Thoracic Surgery, West China Hospital, Chengdu, China; Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu, China.

Department of Thoracic Surgery, West China Hospital, Chengdu, China; Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu, China.

出版信息

Ann Thorac Surg. 2019 Nov;108(5):e333-e335. doi: 10.1016/j.athoracsur.2019.05.046. Epub 2019 Jul 6.

Abstract

Thoracoscopic S9-10 segmentectomies are the most technically challenging anatomic segmentectomies. Because the target vessels and bronchus are commonly variable and deeply located in the lung parenchyma, exposing and correctly identifying them through an interlobar fissure approach or a posterior approach is difficult. We describe a novel method to track the target segmental branches along the stem during single-direction thoracoscopic S9-10 segmentectomy through an inferior pulmonary ligament approach.

摘要

胸腔镜 S9-10 节段切除术是最具技术挑战性的解剖节段切除术。由于目标血管和支气管通常是可变的,并且深深地位于肺实质中,通过叶间裂入路或后入路暴露和正确识别它们是困难的。我们描述了一种通过下肺韧带入路在单向胸腔镜 S9-10 节段切除术中跟踪目标节段分支的新方法。

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