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经支气管镜支气管内减容术联合支气管成形肺段切除术治疗阻塞性神经内分泌肿瘤：可能是最微创的方法。

Combination of endobronchial bronchoscopic debulking and bronchoplastic segmentectomy of an obstructive neuroendocrine tumour: probably the least invasive approach.

机构信息

Department of Surgery, Hôpitaux Universitaires de Genève, Geneva, Switzerland.

Thoracic Unit, Department of Surgery, Hôpital Cantonal de Fribourg, Fribourg, Switzerland.

出版信息

Interact Cardiovasc Thorac Surg. 2022 Jun 15;35(1). doi: 10.1093/icvts/ivac032.

DOI:10.1093/icvts/ivac032
PMID:35211728
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9336576/
Abstract

We report the case of a female patient with an obstructing well-differentiated neuroendocrine tumour in the apical segment of the completely atelectatic right lower lobe. Bronchoscopic debulking of the tumour lead to re-ventilation of the remaining lobe, allowing to perform a lung-sparing bronchoplastic resection of the affected segment by uniportal video-assisted thoracic surgery.

摘要

我们报告了一例女性患者，其右下肺完全不张的肺尖段存在一个阻塞性的高分化神经内分泌肿瘤。支气管镜下肿瘤切除术使剩余的肺叶重新通气，从而能够通过单孔电视胸腔镜手术对受累段进行肺保护支气管成形切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a55/9336576/aa04f9a7e83a/ivac032f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a55/9336576/81334c08002f/ivac032f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a55/9336576/aa04f9a7e83a/ivac032f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a55/9336576/81334c08002f/ivac032f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a55/9336576/aa04f9a7e83a/ivac032f2.jpg

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本文引用的文献

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Diagnostic Yield and Bleeding Complications Associated With Bronchoscopic Biopsy of Endobronchial Carcinoid Tumors.支气管内类癌肿瘤支气管镜活检的诊断率和出血并发症。
J Bronchology Interv Pulmonol. 2020 Jul;27(3):184-189. doi: 10.1097/LBR.0000000000000639.
2
Neuroendocrine Tumors of the Lung: Current Challenges and Advances in the Diagnosis and Management of Well-Differentiated Disease.肺神经内分泌肿瘤：分化良好疾病的诊断和治疗的当前挑战和进展。
J Thorac Oncol. 2017 Mar;12(3):425-436. doi: 10.1016/j.jtho.2016.11.2222. Epub 2016 Nov 24.
3
Video-Assisted Thoracoscopic Surgery Is a Safe and Effective Alternative to Thoracotomy for Anatomical Segmentectomy in Patients With Clinical Stage I Non-Small Cell Lung Cancer.
视频辅助胸腔镜手术是临床 I 期非小细胞肺癌患者解剖性肺段切除术的一种安全有效的替代开胸手术的方法。
Ann Thorac Surg. 2016 Feb;101(2):465-72; discussion 472. doi: 10.1016/j.athoracsur.2015.06.112. Epub 2015 Sep 26.
4
Initial bronchoscopic treatment for patients with intraluminal bronchial carcinoids.腔内支气管类癌患者的初始支气管镜治疗
J Thorac Cardiovasc Surg. 2007 Apr;133(4):973-8. doi: 10.1016/j.jtcvs.2006.12.013.
5
Bronchial carcinoid tumors: surgical management and long-term outcome.支气管类癌肿瘤：手术治疗与长期预后
J Thorac Cardiovasc Surg. 2002 Feb;123(2):303-9. doi: 10.1067/mtc.2002.119886.
6
Bronchoscopic therapy in patients with intraluminal typical bronchial carcinoid.腔内典型支气管类癌患者的支气管镜治疗
Chest. 1995 Feb;107(2):556-8. doi: 10.1378/chest.107.2.556.