Second Department of Surgery, University of Occupational and Environmental Health, Kitakyushu, Japan.
Thoracic and Transplant Surgery, Hamad Medical Corporation, Doha, Qatar.
Ann Thorac Surg. 2022 Aug;114(2):e97-e99. doi: 10.1016/j.athoracsur.2021.10.062. Epub 2021 Dec 11.
Lung autotransplantation with ex vivo bench surgery is a useful surgical technique for centrally located and locally advanced lung cancer to spare lung parenchyma by avoiding pneumonectomy. Here, we present a patient with a bulky superior sulcus tumor with hilar involvement for which lung-sparing complete resection was achieved with autotransplantation. After concurrent chemoradiotherapy, en bloc resection, consisting left pneumonectomy combined with apical chest wall resection (1-4 ribs), back-table extended double-sleeve resection after lung preservation, and reimplantation of basal segment was performed. The postoperative course was uneventful, and the patient is alive without tumor recurrence at 18 months after surgery.
肺自体移植结合体外 bench 手术是一种有用的外科技术，适用于中央型和局部晚期肺癌，通过避免全肺切除术来保留肺实质。在此，我们介绍了一例隆突上大块肿瘤伴肺门受累的患者，通过自体移植实现了肺保留的完全切除术。在同步放化疗后，进行了整块切除术，包括左全肺切除术加前胸部壁切除（1-4 肋骨），肺保存后的离体双袖延长切除术，以及基底段的再植入。术后过程顺利，患者无肿瘤复发，术后 18 个月仍存活。
