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完全胸腔镜下整块切除侵犯膈肌的肺癌。

Complete videothoracoscopic en-bloc resection of lung cancer invading the diaphragm.

作者信息

Acar Arkın, Ceylan Kenan Can, Mestan Hüseyin, Yücel Nur

机构信息

Department of Thoracic Surgery, University of Health Sciences, Erzurum Regional Training and Research Hospital, Erzurum, Türkiye.

Department of Thoracic Surgery, University of Health Sciences, Dr. Suat Seren Chest Diseases and Surgery SUAM, Izmir, Türkiye.

出版信息

Turk Gogus Kalp Damar Cerrahisi Derg. 2023 Jul 27;31(3):416-419. doi: 10.5606/tgkdc.dergisi.2023.22052. eCollection 2023 Jul.

Abstract

Locally advanced non-small cell lung cancer invading the diaphragm is an infrequent clinical presentation. A 74-year-old male patient was operated using video-assisted thoracoscopic surgery in our clinic for a tumor originating from the right lower lobe. A right lower lobectomy with diaphragmatic resection was performed to the tumor with a diameter of 3 cm that invaded the diaphragm, and the resulting defect was repaired primarily with video-assisted thoracoscopic surgery. The patient did not develop complications in the postoperative period and was discharged on Day 6. In conclusion, patients with non-small cell lung cancer invasive to the diaphragm can be even safely operated with the video-assisted thoracoscopic surgery.

摘要

局部晚期非小细胞肺癌侵犯膈肌是一种罕见的临床表现。一名74岁男性患者在我院接受了电视辅助胸腔镜手术,以切除起源于右下叶的肿瘤。对一个直径3 cm、侵犯膈肌的肿瘤进行了右下叶切除及膈肌切除术,并用电视辅助胸腔镜手术对 resulting defect 进行了一期修复。患者术后未出现并发症,于第6天出院。总之,非小细胞肺癌侵犯膈肌的患者甚至可以通过电视辅助胸腔镜手术安全地进行手术。 (注:原文中“resulting defect”此处翻译为“ resulting defect”,可能是原文有误,推测应该是“resulting diaphragmatic defect”之类的表述,但按照要求未做修改)

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/254a/10472477/5dbe2388cd80/TJTCS-2023-31-3-416-419-F1.jpg

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