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肺动脉缺如合并肺癌 1 例报告并文献复习——基于数字术前规划及三维可视化技术的手术模拟策略分析

Unilateral absence of pulmonary artery associated with lung cancer: analysis of operation strategy based on digital preoperative planning and surgical simulation with three-dimensional visualization.

机构信息

Department of Cardiothoracic Surgery, The First College of Clinical Medical Science, China Three Gorges University, Yichang, 443000, China.

Department of Cardiothoracic Surgery, Yichang Central People's Hospital, No. 183 Yilin Road, Yichang, 443000, Hubei, China.

出版信息

Surg Radiol Anat. 2021 Mar;43(3):347-351. doi: 10.1007/s00276-021-02695-9. Epub 2021 Feb 9.

DOI:10.1007/s00276-021-02695-9
PMID:33559715
Abstract

Unilateral absence of a pulmonary artery (UAPA) is a rare congenital anomaly. The occurrence of lung cancer in association with UAPA is even rarer, and clinical experience is very limited. This report aims to describe a case of unilateral absence of the right pulmonary artery that was associated with primary carcinoma of the contralateral lung. Both ipsilateral and contralateral lung cancer operations in patients with UAPA are extremely rare, with limited clinical experience. This article provides insights into the operative tolerability and outcomes after lung surgery in patients with UAPA, with an analysis of the operation strategy based on digital preoperative planning and surgical simulation with three-dimensional (3D) visualization, which may enable lung cancer surgery to be performed safely.

摘要

肺动脉缺如(UAPA)是一种罕见的先天性异常。UAPA 合并肺癌的发生更为罕见,临床经验非常有限。本报告旨在描述一例右肺动脉缺如合并对侧肺癌的病例。UAPA 患者同时行同侧和对侧肺癌手术极为罕见,临床经验有限。本文通过对基于数字术前规划和三维(3D)可视化手术模拟的手术策略进行分析,探讨 UAPA 患者肺手术后的手术耐受性和结果,为安全实施肺癌手术提供参考。

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本文引用的文献

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An adult patient presenting with right unilateral pulmonary agenesis: a case report and literature review.成人单侧右肺发育不全患者 1 例报告并文献复习
Surg Radiol Anat. 2020 Nov;42(11):1299-1301. doi: 10.1007/s00276-020-02467-x. Epub 2020 Apr 7.
2
Adult presentation of asymptomatic right lung agenesis: a rare anatomical variation.成人无症状性右肺发育不全的表现:一种罕见的解剖变异
Surg Radiol Anat. 2019 Feb;41(2):247-249. doi: 10.1007/s00276-018-2130-1. Epub 2018 Nov 7.
3
Isolated Unilateral Absence of Pulmonary Artery Associated with Contralateral Lung Cancer.
孤立性单侧肺动脉缺如合并对侧肺癌
Korean J Thorac Cardiovasc Surg. 2018 Aug;51(4):280-282. doi: 10.5090/kjtcs.2018.51.4.280. Epub 2018 Aug 5.
4
Unilateral absence of pulmonary artery associated with contralateral lung cancer.单侧肺动脉缺如伴对侧肺癌。
J Thorac Dis. 2016 Sep;8(9):E942-E946. doi: 10.21037/jtd.2016.08.97.
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Unilateral Absence of the Right Pulmonary Artery Accompanied by Right Lung Cancer.右肺动脉缺如伴右肺癌
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Pulmonary Artery Agenesis Associated With Emphysema and Multiple Invasive Non-Small Cell Lung Cancers.肺动脉发育不全合并肺气肿及多发侵袭性非小细胞肺癌
Ann Thorac Surg. 2015 Jun;99(6):2192-5. doi: 10.1016/j.athoracsur.2014.08.062.
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Unilateral absence of pulmonary artery: pathophysiology, symptoms, diagnosis and current treatment.单侧肺动脉缺如:病理生理学、症状、诊断和当前治疗。
Arch Cardiovasc Dis. 2013 Aug-Sep;106(8-9):448-54. doi: 10.1016/j.acvd.2013.05.004. Epub 2013 Aug 9.
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Absence of Left Pulmonary Artery: Case report.左肺动脉缺如:病例报告。
Sultan Qaboos Univ Med J. 2009 Aug;9(2):180-3. Epub 2009 Jun 30.
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10
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