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双向法:一种用于在单孔胸腔镜肺段切除术中识别解剖结构的新方法。

Two-Way: A Novel Method for Identifying the Anatomy During Uniportal Thoracoscopic Segmentectomy.

机构信息

Department of Thoracic Surgery, Third Affiliated Hospital of Kunming Medical University, Kunming, China.

Department of Thoracic Surgery, Third Affiliated Hospital of Kunming Medical University, Kunming, China.

出版信息

Ann Thorac Surg. 2020 Nov;110(5):e441-e443. doi: 10.1016/j.athoracsur.2020.04.041. Epub 2020 May 31.

Abstract

Because the segmental bronchi and vessels are commonly variable and complicated, it is difficult to correctly identify them. Misidentification of the segmental anatomy could result in the failure of segmentectomy and conversion to other surgical procedures such as bisegmentectomy or lobectomy. We describe a novel method to identify the target segmental vessels and bronchi by exposing the adjacent segmental anatomy during uniportal video-assisted thoracoscopic segmentectomy, which could help to reduce the chance of misidentification.

摘要

由于节段性支气管和血管通常存在变异性和复杂性,因此难以正确识别它们。节段解剖结构的错误识别可能导致段切除术失败,并转换为其他手术程序,如双节段切除术或肺叶切除术。我们描述了一种在单孔电视辅助胸腔镜段切除术中暴露相邻节段解剖结构来识别目标节段血管和支气管的新方法,这有助于降低识别错误的机会。

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