Department of Thoracic Surgery, Center Hospital of the National Center for Global Health and Medicine, Tokyo, Japan.
Asian J Endosc Surg. 2021 Jan;14(1):109-111. doi: 10.1111/ases.12819. Epub 2020 Jun 3.
Bronchial abnormalities are rare, and they are infrequently associated with pulmonary vascular abnormalities. It is important to identify such abnormal anatomical structures before lobectomy of the lung under thoracoscopy. There have been only three reports on video-assisted thoracoscopic lobectomy in patients with anomalous bronchi and vascular abnormalities to date. Here, we present a report of video-assisted thoracoscopic right upper lobectomy performed in a patient with bronchial and vascular abnormalities. Both preoperative imaging and intraoperative findings revealed a displaced anomalous B bronchus arising from the bronchus intermedius, as well as abnormal distribution of the aberrant vein V draining into vein V . It is critical to understand the precise anatomical structures preoperatively to perform video-assisted thoracoscopic pulmonary lobectomy safely.
支气管异常罕见，且通常与肺血管异常无关。在胸腔镜下进行肺叶切除术之前，识别这些异常的解剖结构非常重要。迄今为止，仅有 3 篇关于异常支气管和血管患者行电视辅助胸腔镜肺叶切除术的报道。本文报告了 1 例支气管和血管异常患者行电视辅助胸腔镜右肺上叶切除术。术前影像学和术中所见均显示，来自中间支气管的异常 B 支气管移位，以及引流至 V 静脉的异常 V 静脉异常分布。术前了解确切的解剖结构对于安全实施电视辅助胸腔镜肺叶切除术至关重要。
