Department of Thoracic Surgery, The Fourth Affiliated Hospital of China Medical University, No. 4 Chongshandong Road, Huanggu District, Shenyang, 110032, Liaoning Province, China.
Gen Thorac Cardiovasc Surg. 2021 Oct;69(10):1432-1437. doi: 10.1007/s11748-021-01685-3. Epub 2021 Jul 20.
Situs inversus totalis (SIT) is an extremely uncommon congenital disease where the major organs of the body are transposed through the sagittal plane. Kartagener syndrome is a complication of SIT with immotility of bronchial cilia, bronchiectasis, and chronic sinusitis. There is no report describing patients with Kartagener syndrome who accept uni-portal segmentectomies for lung cancer in past studies. Here we report a 74-year-old female patient with both Kartagener syndrome and a small early-stage lung cancer lesion located in the apical segment of the left upper lobe (LS). The pulmonary segment anatomy of the left upper lobe in this case, which had very rare variants, was presented and interpreted in detail. This patient underwent an anatomic segmentectomy to the LS and a partial excision to the left middle lobe with bronchiectasis through a single 3 cm length incision. We believe that the case can give surgeons some experience and inspiration.
全内脏反位（SIT）是一种极为罕见的先天性疾病，其特征为身体的主要器官沿矢状面全部反转。卡塔格内（Kartagener）综合征是 SIT 的一种并发症，表现为支气管纤毛不动、支气管扩张和慢性鼻窦炎。既往研究中尚无描述卡塔格内综合征患者接受单端口肺段切除术治疗肺癌的报道。本文报道了 1 例 74 岁女性患者，其患有卡塔格内综合征，且左肺上叶尖段存在早期小肺癌病变（LS）。该病例左肺上叶的肺段解剖结构存在非常罕见的变异，我们对其进行了详细的呈现和解读。该患者通过单一 3cm 切口行 LS 解剖性肺段切除术和左肺中叶支气管扩张部分切除术。我们认为该病例可为外科医生提供一些经验和启示。
