Benkirane Taib, Frey Sébastien, Rudondy Quentin, Alcaraz Florent, Guarino Mauro, Benzaquen Jonathan, Casanova Vincent, Cohen Charlotte, Gomez-Caro Abel, Berthet Jean-Phillippe
Department of Thoracic Surgery, Pasteur 1 Hospital, University Hospital of Nice, France.
University of Côte d'Azur, Nice, France.
Ann Thorac Surg Short Rep. 2023 Mar 2;1(2):240-243. doi: 10.1016/j.atssr.2023.02.016. eCollection 2023 Jun.
We describe the case of a 54-year-old man with a history of non-small cell lung cancer for which we performed a right upper sleeve lobectomy after chemotherapy. Pathologic examination reported a ypT1 N1 M0 R0 epidermoid carcinoma. Two years later, a local recurrence involving the tracheal carina and the previous anastomosis line was diagnosed. Carinal sleeve resection, including middle sleeve lobectomy extended to segment 6, replacement of the right pulmonary artery, and lower lobe reimplantation in the left main bronchus, was performed, achieving complete resection. Twelve months after the surgery, the patient is recurrence free.
我们报告了一例54岁男性，有非小细胞肺癌病史，化疗后我们对其实施了右上袖式肺叶切除术。病理检查报告为ypT1 N1 M0 R0期表皮样癌。两年后，诊断出局部复发，累及气管隆突和先前的吻合线。实施了隆突袖式切除术，包括延伸至6段的中间袖式肺叶切除术、右肺动脉置换以及左主支气管中下叶再植术，实现了完整切除。术后12个月，患者无复发。
