Department of General Thoracic Surgery, Osaka Saiseikai Nakatsu Hospital, 2-10-39, Shibata, Kita-ward, Osaka, 530-0012, Japan.
Gen Thorac Cardiovasc Surg. 2022 Apr;70(4):413-415. doi: 10.1007/s11748-021-01764-5. Epub 2022 Jan 27.
Acute exacerbation (AE) of idiopathic pulmonary fibrosis (IPF) is among the most fatal postoperative complications of lung resection in patients with IPF. Non-small-cell lung cancer (NSCLC) with IPF exhibits basal segment dominance. Treatment options for these lesions include lobectomy or basal segment segmentectomies. However, these procedures potentially increase risks of AE due to surgical stress including prolonged operative time and loss of pulmonary function. Therefore, as an alternative to these procedures, we developed a simple and practical deep wedge resection technique for basal segments. Our technique is minimally invasive and quick and simple approach in patients with NSCLC and IPF.
特发性肺纤维化（IPF）患者的肺切除术后最致命的并发症之一是特发性肺纤维化急性加重（AE）。伴 IPF 的非小细胞肺癌（NSCLC）表现为基底段优势。这些病变的治疗选择包括肺叶切除术或基底段节段切除术。然而，这些手术由于手术应激，包括手术时间延长和肺功能丧失，可能会增加 AE 的风险。因此，作为这些手术的替代方法，我们为基底段开发了一种简单实用的深部楔形切除术技术。对于 NSCLC 和 IPF 患者，我们的技术是一种微创、快速且简单的方法。
