Sumiya Ryusuke, Matsunaga Takeshi, Watanabe Yukio, Fukui Mariko, Hattori Aritoshi, Takamochi Kazuya, Suzuki Kenji
Department of General Thoracic Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Ann Thorac Surg Short Rep. 2024 Jul 31;2(4):640-642. doi: 10.1016/j.atssr.2024.07.015. eCollection 2024 Dec.
Although segmentectomy is the standard surgical procedure for small-sized peripheral non-small cell lung cancer, reports on segmentectomy for right middle robe are rare because of the anatomical feature. We report a case of an 81-year-old woman with a history of left S4 segmentectomy, left basal segmentectomy, and right upper lobectomy for multiple primary lung cancer with a part solid nodule in S4a. Owing to the increased volume of the right middle lobe following a right upper lobectomy, a right S4 segmentectomy was performed. In patients with a large right middle lobe or dilated resulting from a previous lung resection, segmentectomy is an option for preserving the lung parenchyma.
尽管肺段切除术是小型周围型非小细胞肺癌的标准外科手术，但由于解剖学特征，关于右中叶肺段切除术的报道很少。我们报告一例81岁女性，有因多原发性肺癌行左S4段切除术、左基底段切除术和右上叶切除术的病史，其S4a有部分实性结节。由于右上叶切除术后右中叶体积增大，遂行右S4段切除术。对于右中叶较大或因既往肺切除导致中叶扩张的患者，肺段切除术是保留肺实质的一种选择。
