Muramatsu T, Ohhata M, Sezai Y, Ueda T, Yamazaki T, Ohmiya S
Department of 2nd Surgery, Nippon University, Tokyo, Japan.
Kyobu Geka. 1994 Oct;47(11):899-902.
A case of thoracoscopic right lower pulmonary lobectomy is reported. A 79-year-old man was admitted to our hospital after the accidental finding of a right pulmonary growth. A computed tomography (CT) scan of the thorax confirmed the presence of a neoplasm, 2.5 cm in diameter, at the posterior-basal segment of the right lower lobe. Considering the general condition of the patient and the characteristics of the lesion, we decided to perform a assess the possibility of a thoracoscopic lobectomy instead of the traditional posterolateral approach. The pulmonary artery was dissected with the new endoscopic cherry dissector, and ligated with the polyester suture material and Endo Clip then dived with Endo scissors. The lower pulmonary vein was dissected with this endoscopic cherry dissector and divided with Endo GIA 30 clamping the new thoracoscopic De Bakey type vascular clamp. The specimen was extracted through the minimal thoracotomy (15 cm). The postoperative course was uneventful with minimal postoperative pain, and the patient was discharged after complete surgical recovery with excellent functional and cosmetic results.
报道了一例胸腔镜右下肺叶切除术病例。一名79岁男性在意外发现右肺肿物后入院。胸部计算机断层扫描（CT）证实右下叶后基底段存在一个直径2.5厘米的肿瘤。考虑到患者的一般情况和病变特征，我们决定评估胸腔镜肺叶切除术而非传统后外侧入路的可能性。使用新型内镜樱桃解剖器解剖肺动脉，并用聚酯缝线材料和内镜夹结扎，然后用内镜剪刀切断。用该内镜樱桃解剖器解剖下肺静脉，并用Endo GIA 30夹闭新型胸腔镜德巴基型血管夹后切断。标本通过微创开胸术（15厘米）取出。术后过程顺利，术后疼痛轻微，患者在手术完全恢复后出院，功能和美容效果极佳。
