Igai Hitoshi, Ida Akinobu, Numajiri Kazuki, Nii Kazuhito, Kamiyoshihara Mitsuhiro
Department of General Thoracic Surgery, Japanese Red Cross Maebashi Hospital, Maebashi, Japan.
Ann Thorac Surg Short Rep. 2024 Oct 22;3(2):348-351. doi: 10.1016/j.atssr.2024.10.001. eCollection 2025 Jun.
Given the small volume of the subsuperior segment (S∗), the thoracic surgeon are often unaware of it, and there are only a few reports describing subsuperior segmentectomy. Here we report a successful case of right posterior basal and subsuperior segmentectomy through a robotic approach with a sufficient surgical margin. Although this type of segmentectomy is considered technically difficult, the robotic approach helped us to achieve it easily. In addition, careful examination of preoperative 3-dimensional computed tomographic bronchoangiography was important to avoid misunderstanding the anatomy when we performed this procedure.
由于下上段(S∗)体积较小,胸外科医生常常对其缺乏认识,仅有少数关于下上段切除术的报道。在此,我们报告一例通过机器人手术成功实施的右后基底段和下上段切除术,手术切缘充分。尽管这类肺段切除术被认为技术难度较大,但机器人手术方法帮助我们轻松完成了该手术。此外,在进行该手术时,仔细检查术前三维计算机断层扫描支气管血管造影对于避免解剖结构误判非常重要。