电视辅助胸腔镜手术下右肺后段切除术伴异常支气管和肺血管：一例报告及文献综述
VATS right posterior segmentectomy with anomalous bronchi and pulmonary vessels: a case report and literature review.
作者信息
Zhang Jianbin, Zhu Yilv, Li Hongwei, Yu Caihua, Min Weiwei
机构信息
Department of Thoracic Surgery, Huzhou Central Hospital, Affiliated Central Hospital of HuZhou University, 1558 Third Ring North Road, Huzhou, 313000, Zhejiang, China.
Department of Radiology, Huzhou Central Hospital, Affiliated Central Hospital of HuZhou University, Huzhou, 313000, Zhejiang, China.
出版信息
J Cardiothorac Surg. 2021 Mar 29;16(1):60. doi: 10.1186/s13019-021-01420-2.
BACKGROUND
Anatomic variation may increase the difficulty and risk of anatomic segmentectomy. The preoperative three-dimensional computed tomography bronchography and angiography (3D-CTBA) can provide a detailed model of the segmental structure, and contribute to precise and safe segmentectomy.
CASE PRESENTATION
This is a case of anomalous bronchi and pulmonary vessels in the right upper posterior segment (RS). Under the guidance of 3D-CTBA, anatomic RS segmentectomy was performed accurately and safely. The postoperative condition was uneventful.
CONCLUSIONS
This rare case highlights the importance of 3D-CTBA to guild accurate segmentectomy with anatomic variation.
背景
解剖变异可能会增加解剖性肺段切除术的难度和风险。术前三维计算机断层扫描支气管造影和血管造影（3D-CTBA）能够提供详细的肺段结构模型，有助于精准、安全地实施肺段切除术。
病例介绍
这是一例右上后段（RS）支气管和肺血管异常的病例。在3D-CTBA的引导下，准确、安全地实施了解剖性RS段切除术。术后病情平稳。
结论
这个罕见病例凸显了3D-CTBA在指导存在解剖变异的精准肺段切除术中的重要性。
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