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风景优美的路径：经右胸行舌叶转移瘤切除术

The Scenic Route: Lingular Metastasectomy Through the Right Chest.

作者信息

Udelsman Brooks V, Blasberg Justin D

机构信息

Division of Thoracic Surgery, Department of Surgery, Keck School of Medicine of University of Southern California, Los Angeles California.

Division of Thoracic Surgery, Department of Surgery, Yale-New Haven Hospital, New Haven, Connecticut.

出版信息

Ann Thorac Surg Short Rep. 2024 Apr 18;2(3):506-508. doi: 10.1016/j.atssr.2024.03.010. eCollection 2024 Sep.

DOI:10.1016/j.atssr.2024.03.010
PMID:39790420
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11708399/
Abstract

Metastasectomy for isolated pulmonary metastasis can improve disease-free and overall-survival in well-selected patients. When feasible, a minimally invasive wedge resection is the preferred approach. However, a hostile ipsilateral chest can hinder surgical resection. In this report, we describe the resection of an isolated metastasis in the lingula through the right chest and anterior mediastinum using a robotic-assisted thoracoscopic approach in a patient with a prior left thoracotomy and pleurodesis.

摘要

对于孤立性肺转移瘤进行转移灶切除术可改善经过严格筛选患者的无病生存期和总生存期。在可行的情况下，微创楔形切除术是首选方法。然而，患侧胸腔情况不佳会阻碍手术切除。在本报告中，我们描述了在一名曾接受过左胸开胸手术和胸膜固定术的患者中，通过机器人辅助胸腔镜手术经右胸和前纵隔切除舌叶孤立转移灶的过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d94a/11708399/b47156fb1f29/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d94a/11708399/4737250b7632/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d94a/11708399/970aa09c1c05/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d94a/11708399/b47156fb1f29/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d94a/11708399/4737250b7632/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d94a/11708399/970aa09c1c05/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d94a/11708399/b47156fb1f29/gr3.jpg

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本文引用的文献

1
Pulmonary metastasectomy for metastatic head and neck cancer prolongs survival significantly compared to non-surgical therapy.与非手术治疗相比，转移性头颈部癌的肺转移切除术显著延长了患者的生存时间。
Eur J Cardiothorac Surg. 2022 Jul 11;62(2). doi: 10.1093/ejcts/ezac098.
2
Conversion to Thoracotomy During Thoracoscopic vs Robotic Lobectomy: Predictors and Outcomes.胸腔镜与机器人肺叶切除术中转为开胸手术：预测因素和结果。
Ann Thorac Surg. 2022 Aug;114(2):409-417. doi: 10.1016/j.athoracsur.2021.10.067. Epub 2021 Dec 16.
3
Current Indications for Pulmonary Metastasectomy.
目前肺转移切除术的适应证。
Surg Oncol Clin N Am. 2020 Oct;29(4):673-683. doi: 10.1016/j.soc.2020.06.007. Epub 2020 Aug 12.
4
Risk Factors and Impact of Conversion to Thoracotomy From 20,565 Cases of Thoracoscopic Lung Surgery.胸腔镜肺手术 20565 例中转开胸的危险因素及影响
Ann Thorac Surg. 2020 May;109(5):1522-1529. doi: 10.1016/j.athoracsur.2019.12.009. Epub 2020 Jan 23.
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Anatomy of the pleura: reflection lines and recesses.胸膜解剖：反射线和隐窝。
Thorac Surg Clin. 2011 May;21(2):165-71, vii. doi: 10.1016/j.thorsurg.2010.12.002.
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Thoracoscopic apico-posterior transmediastinal approach for bilateral spontaneous pneumothorax.胸腔镜下经纵隔尖后入路治疗双侧自发性气胸
Interact Cardiovasc Thorac Surg. 2008 Apr;7(2):352-4. doi: 10.1510/icvts.2007.165217. Epub 2008 Jan 10.
7
Feasibility and results of awake thoracoscopic resection of solitary pulmonary nodules.清醒状态下胸腔镜切除孤立性肺结节的可行性及结果
Ann Thorac Surg. 2004 Nov;78(5):1761-8. doi: 10.1016/j.athoracsur.2004.05.083.
8
Transmediastinal approach to exploring the lung contralateral to the thoracotomy site.经纵隔入路探查开胸部位对侧的肺。
Jpn J Thorac Cardiovasc Surg. 2001 May;49(5):267-72. doi: 10.1007/BF02913131.