Department of Thoracic Surgery, Jiangsu Province Hospital, First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Department of Thoracic Surgery, Jiangsu Province Hospital, First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Ann Thorac Surg. 2021 Jun;111(6):e447-e450. doi: 10.1016/j.athoracsur.2020.10.083. Epub 2021 Jan 30.
The traditional segmentectomy involves each segment as the least surgical unit to preserve more pulmonary parenchyma than lobectomy, which is also excessive for small ground glass opacity-dominated lung cancer. We report a novel technique of sublobar resection based on subsegment. Under the guidance of three-dimensional computed tomography bronchography and angiography, the nodules were classified according to their subsegmental location and removed by individual sublobar resection. That assists in removing malignant nodules with safe margins and preserves more pulmonary parenchyma. However, the oncologic efficacy and pulmonary function protection warrant follow-up.
传统的肺段切除术以每个肺段作为最小的手术单位，比肺叶切除术保留更多的肺实质，对于以磨玻璃密度为主的小肺癌来说，肺叶切除术切除范围过大。我们报告了一种基于亚段的新型亚肺叶切除术技术。在三维 CT 支气管造影和血管造影的指导下，根据结节的亚段位置进行分类，并通过单独的亚肺叶切除术切除。这有助于在安全切缘下切除恶性结节并保留更多的肺实质。然而，其肿瘤学疗效和肺功能保护需要进一步随访。
