Igai Hitoshi, Ida Akinobu, Numajiri Kazuki, Nii Kazuhito, Kamiyoshihara Mitsuhiro
Department of General Thoracic Surgery, Japanese Red Cross Maebashi Hospital, Maebashi, Japan.
Department of General Thoracic Surgery, Japanese Red Cross Maebashi Hospital, Maebashi, Gunma 371-0811, Japan.
Multimed Man Cardiothorac Surg. 2025 Mar 3;2025. doi: 10.1510/mmcts.2024.130.
Many articles document the efficacy of the fissureless technique, most of which focus on a right upper lobectomy. However, there are a few reports on a fissureless left upper lobectomy, especially using a robotic approach. This report presents a successful case of a robotic fissureless left upper lobectomy in a patient with a dense fissure. The total console time was 111 minutes. The postoperative course was uneventful, with the chest tube being removed on postoperative day 1. The patient was successfully discharged on postoperative day 2. The final pathology report confirmed adenocarcinoma, staged as pT1cN1M0, stage IIB. Precise preoperative evaluation using three-dimensional computed tomography broncho-angiography is essential to understand the anatomy accurately and to avoid complications in this challenging procedure.
许多文章记录了无裂技术的疗效，其中大多数集中在右上叶切除术。然而，关于无裂左上叶切除术的报道较少，尤其是采用机器人手术方式的。本报告介绍了一例在有致密叶裂的患者中成功实施机器人无裂左上叶切除术的病例。总控制台时间为111分钟。术后过程顺利，术后第1天拔除胸管。患者于术后第2天成功出院。最终病理报告证实为腺癌，分期为pT1cN1M0，IIB期。使用三维计算机断层扫描支气管血管造影进行精确的术前评估对于准确了解解剖结构以及避免这一具有挑战性的手术中的并发症至关重要。
