一名右肺静脉共干患者的胸腔镜下右下肺叶切除术
Thoracoscopic Right Lower Lobectomy in a Patient With a Common Trunk of the Right Pulmonary Veins.
作者信息
Noda Daiki, Yokoyama Shintaro, Setojima Sho, Kibe Shiro, Ozaki Kunihiro, Hayashida Ryozo, Nishimura Yutaka, Osoegawa Atsushi, Mitsuoka Masahiro, Sugio Kenji
机构信息
Department of Surgery, Oita Prefecture Saiseikai Hita Hospital, Hita, Japan.
Department of Thoracic and Breast Surgery, Oita University Faculty of Medicine, Yufu, Japan.
出版信息
Ann Thorac Surg Short Rep. 2022 Oct 29;1(1):128-130. doi: 10.1016/j.atssr.2022.10.011. eCollection 2023 Mar.
Varied branching patterns of the pulmonary veins are widely known; however, the common trunk of the right pulmonary veins is sparsely described. We report the details of a right lower lobectomy in a patient with a common trunk of the right pulmonary veins. Besides an attentive interpretation of computed tomography images, 3-dimensional reconstruction aids in the preoperative recognition of this anomaly. To ensure safe division of the lower lobe vein, adequate exposure of the pulmonary hilum is needed, supported by prior interlobar fissure division between the middle and lower lobes.
肺静脉的分支模式多种多样，这是广为人知的；然而，右肺静脉共干的描述却很稀少。我们报告了一例右肺静脉共干患者右下肺叶切除术的详细情况。除了仔细解读计算机断层扫描图像外，三维重建有助于术前识别这种异常情况。为确保安全离断下叶静脉，需要充分暴露肺门，这可通过先行中叶和下叶之间的叶间裂离断来辅助。
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