Yamamoto Shinichi, Sogabe Masaya, Endo Shunsuke
Department of General Thoracic Surgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi 329-0498, Japan.
J Surg Case Rep. 2021 May 18;2021(5):rjab190. doi: 10.1093/jscr/rjab190. eCollection 2021 May.
We describe a case of lung lobectomy and resection of the rib neck and head in a lung cancer patient with an invasion of the chest wall. The tumor was located in the upper lobe, adjacent to the neck of the third rib. We performed a right upper lobectomy and en bloc resection of the third rib, including the rib neck and head, by video-assisted thoracoscopic surgery with an additional 6 cm posterior incision along the right paravertebral line. The costovertebral joint incision procedure is a useful technique to ensure tumor-free margins in cases where the tumor is located close to the rib's neck and head.
我们描述了一例肺癌侵犯胸壁患者行肺叶切除术及肋骨颈和头部切除的病例。肿瘤位于上叶，毗邻第三肋骨颈。我们通过电视辅助胸腔镜手术，沿右椎旁线额外做了一个6厘米的后切口，进行了右上叶切除术并整块切除第三肋骨，包括肋骨颈和头部。肋椎关节切开术是一种有用的技术，可确保在肿瘤位于肋骨颈和头部附近的情况下实现无瘤切缘。
