Tsuboi M, Asamura H, Naruke T, Nakayama H, Kondo H, Tsuchiya R
Division of Thoracic Surgery, National Cancer Center Hospital Tokyo, Japan.
Surg Today. 1997;27(11):1074-6. doi: 10.1007/BF02385792.
A video-assisted right upper lobectomy was successfully performed on a 58-year-old man with an anomalous segmental pulmonary vein. The tumor was a peripherally located adenocarcinoma. The anomalous vein behind the right main bronchus was identified and safely divided. This case emphasized that to perform this procedure successfully, (1) a careful preoperative evaluation of the anatomy, including the presence of any possible vascular and/or bronchial anomalies, is necessary, and (2) if any anatomical structures cannot be determined intraoperatively, a conversion into an open procedure must immediately be undertaken.
对一名患有异常节段性肺静脉的58岁男性成功实施了电视辅助右上叶切除术。肿瘤为周围型腺癌。识别出右主支气管后方的异常静脉并安全切断。该病例强调，要成功实施该手术，（1）术前需仔细评估解剖结构，包括是否存在任何可能的血管和/或支气管异常，（2）如果术中无法确定任何解剖结构，必须立即转为开放手术。
