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被诊断为纵隔肿瘤并通过机器人手术切除的肺叶外型肺隔离症

Extralobar Pulmonary Sequestration Diagnosed as a Mediastinal Tumor and Resected by Robotic Surgery.

作者信息

Ueno Harushi, Watanabe Hiroki, Okado Shoji, Kadomatsu Yuka, Kato Taketo, Nakamura Shota, Mizuno Tetsuya, Chen-Yoshikawa Toyofumi Fengshi

机构信息

Department of Thoracic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

出版信息

Ann Thorac Surg Short Rep. 2024 Feb 10;2(2):185-188. doi: 10.1016/j.atssr.2024.01.009. eCollection 2024 Jun.

DOI:10.1016/j.atssr.2024.01.009
PMID:39790132
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11708745/
Abstract

A 55-year-old woman with no significant medical history or symptoms was incidentally diagnosed with a mediastinal tumor during a routine health checkup. The intraoperative findings of robot-assisted thoracoscopic surgery led to the diagnosis of extralobar pulmonary sequestration (EPS), with multiple vessels connecting to the pulmonary artery and superior pulmonary vein. EPS, an extremely rare condition, is typically supplied with blood from the aorta. Whereas it is uncommon for blood to be supplied from the pulmonary artery and to drain into the pulmonary vein in EPS, it is safely excised through robot-assisted thoracoscopic surgery.

摘要

一名55岁女性,无重大病史及症状,在常规健康检查中意外诊断出纵隔肿瘤。机器人辅助胸腔镜手术的术中发现确诊为肺叶外隔离症(EPS),有多个血管连接到肺动脉和肺上静脉。EPS是一种极其罕见的病症,通常由主动脉供血。虽然EPS由肺动脉供血并引流至肺静脉的情况并不常见,但通过机器人辅助胸腔镜手术可安全切除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80a7/11708745/bb3daaff71ee/figs1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80a7/11708745/16d39fe77c78/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80a7/11708745/f5a94743b9dd/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80a7/11708745/dde0bc8053ca/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80a7/11708745/bb3daaff71ee/figs1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80a7/11708745/16d39fe77c78/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80a7/11708745/f5a94743b9dd/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80a7/11708745/dde0bc8053ca/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80a7/11708745/bb3daaff71ee/figs1.jpg

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本文引用的文献

1
Imaging and pathological characteristics, treatment, and prognosis of pulmonary sequestration-A retrospective study of 13 cases.肺隔离症的影像学和病理学特征、治疗及预后:13 例回顾性研究。
Clin Respir J. 2023 Sep;17(9):865-873. doi: 10.1111/crj.13672. Epub 2023 Aug 2.
2
Current trends in thoracic surgery.胸腔外科的当前趋势。
Nagoya J Med Sci. 2020 May;82(2):161-174. doi: 10.18999/nagjms.82.2.161.
3
Extralobar pulmonary sequestration in the middle mediastinum.中纵隔叶外型肺隔离症。
Gen Thorac Cardiovasc Surg. 2017 Aug;65(8):481-483. doi: 10.1007/s11748-016-0735-z. Epub 2016 Dec 3.
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Pulmonary sequestration: a retrospective analysis of 2625 cases in China.肺隔离症:中国 2625 例回顾性分析。
Eur J Cardiothorac Surg. 2011 Jul;40(1):e39-42. doi: 10.1016/j.ejcts.2011.01.080. Epub 2011 Apr 2.
5
Extralobar sequestration in anterior mediastinum with pericardial agenesis.前纵隔叶外型肺隔离症合并心包缺如。
Ann Thorac Surg. 2009 Jul;88(1):291-3. doi: 10.1016/j.athoracsur.2008.12.037.
6
Imaging in bronchopulmonary sequestration.支气管肺隔离症的影像学检查
J Med Imaging Radiat Oncol. 2009 Feb;53(1):22-31. doi: 10.1111/j.1754-9485.2009.02033.x.