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针对一名存在不完全性水平裂及右上肺静脉多处异常的患者行整块右上叶双肺段切除术

En Bloc Right Upper Bilobectomy For a Patient With Incomplete Minor Fissure and Multiple Anomalies of the Right Superior Pulmonary Vein.

作者信息

Matsuda Masakazu, Mizuuchi Hiroshi, Ito Kensaku, Kouso Hidenori

机构信息

Department of Surgery, Oita Red Cross Hospital, Oita, JPN.

Department of Thoracic Surgery, Shimonoseki City Hospital, Shimonoseki, JPN.

出版信息

Cureus. 2024 Sep 24;16(9):e70080. doi: 10.7759/cureus.70080. eCollection 2024 Sep.

Abstract

Variations in the anomaly of the right superior pulmonary vein can lead to perioperative complications if misunderstood. Additionally, incomplete fissures increase the complexity of performing pulmonary anatomical resection. Therefore, accurate preoperative anatomical assessment using three-dimensional computed tomography is crucial for ensuring safe surgery. We herein report a case of en bloc right upper bilobectomy via uniportal video-assisted thoracic surgery in a patient with an incomplete minor fissure and a complex anomaly of the right superior pulmonary vein.

摘要

右上肺静脉异常的变异如果被误解,可能导致围手术期并发症。此外,不完全裂增加了进行肺解剖性切除的复杂性。因此,使用三维计算机断层扫描进行准确的术前解剖评估对于确保手术安全至关重要。我们在此报告一例通过单孔电视辅助胸腔镜手术对一名存在不完全小裂和右上肺静脉复杂异常的患者进行整块右上叶双肺叶切除术的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f2d/11503712/a5c65da194fc/cureus-0016-00000070080-i01.jpg

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