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经后路单孔胸腔镜左肺下后基底段切除术

Uniportal thoracoscopic left posterior basal segmentectomy using a posterior approach.

机构信息

Department of General Thoracic Surgery, Japanese Red Cross Maebashi Hospital, Maebashi, Japan.

出版信息

Thorac Cancer. 2022 Aug;13(16):2401-2403. doi: 10.1111/1759-7714.14572. Epub 2022 Jul 11.

DOI:10.1111/1759-7714.14572
PMID:35815411
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9376154/
Abstract

Posterior basal (S10) segmentectomy is one of the most challenging (and uncommon) types of pulmonary segmentectomy. Here, we present two key tips for facilitating a uniportal operation. The first is a full understanding of the relative locations of the pulmonary vessels and bronchi (as revealed by preoperative three-dimensional computed tomography/broncho-angiography), and the other is the use of "suction-guided stapling" to dissect and divide the peripheral pulmonary vessels and bronchi. We describe the successful postoperative course of a patient who was so treated.

摘要

后基底段（S10）切除术是最具挑战性（和罕见）的肺段切除术之一。在此，我们介绍了促进单孔手术的两个关键技巧。一是充分了解肺血管和支气管的相对位置（由术前三维 CT/支气管血管造影显示），另一个是使用“吸引导向吻合”来解剖和分离肺外周血管和支气管。我们描述了一位成功接受这种治疗的患者的术后过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/222f/9376154/2c787e087846/TCA-13-2401-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/222f/9376154/7ba765453825/TCA-13-2401-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/222f/9376154/06e43c4f48de/TCA-13-2401-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/222f/9376154/2c787e087846/TCA-13-2401-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/222f/9376154/7ba765453825/TCA-13-2401-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/222f/9376154/06e43c4f48de/TCA-13-2401-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/222f/9376154/2c787e087846/TCA-13-2401-g004.jpg

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本文引用的文献

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Lancet. 2022 Apr 23;399(10335):1607-1617. doi: 10.1016/S0140-6736(21)02333-3.
2
Application of "suction-guided stapling" during uniportal thoracoscopic major lung resection.单孔胸腔镜下肺叶切除术的“负压吸引辅助切割缝合”应用。
Gen Thorac Cardiovasc Surg. 2022 Feb;70(2):204-205. doi: 10.1007/s11748-021-01748-5. Epub 2021 Nov 23.
3
Uniportal thoracoscopic upper division segmentectomy of left upper lobe using a unidirectional anterior approach.
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Multimed Man Cardiothorac Surg. 2020 May 12;2020. doi: 10.1510/mmcts.2020.017.
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Single-direction thoracoscopic basal segmentectomy.单向胸腔镜下基底段切除术。
J Thorac Cardiovasc Surg. 2020 Dec;160(6):1586-1594. doi: 10.1016/j.jtcvs.2020.01.028. Epub 2020 Feb 1.
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Eur J Cardiothorac Surg. 2017 Apr 1;51(4):790-791. doi: 10.1093/ejcts/ezw339.
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