Terada Y, Yamabuki K, Ookawa S, Okazaki H, Ishibashi A, Sakakibara Y, Ishikawa S, Mitsui K, Mitsui T, Hori M
Department of Surgery, Institute of Clinical Medicine, University of Tsukuba.
Rinsho Kyobu Geka. 1994 Apr;14(2):137-40.
Two cases were operated on simultaneously for coronary revascularization and lung resections for cancer. Case 1 was a 79 year-old man, diagnosed with two vessels coronary artery disease and squamous cell carcinoma of left lower lobe. At the end of aortocoronary bypass grafting to LAD and first diagonal branch using saphenous vein, median sternotomy was closed, and lower lobectomy was performed through left posterolateral standard thoracotomy. Case 2 was a 65 year-old man who underwent aortocoronary bypass grafting to LAD first and left lingular segmentectomy via median sternotomy simultaneously. We concluded that a simultaneous operation was definitively and ideally a preferable method in most selected cases. The order of two operations for coronary artery and lung was also discussed.
同时对两例患者进行了冠状动脉血运重建术和肺癌肺切除术。病例1是一名79岁男性，诊断为双支冠状动脉疾病和左肺下叶鳞状细胞癌。使用大隐静脉完成了向左前降支（LAD）和第一对角支的主动脉冠状动脉搭桥术后，关闭了正中胸骨切开术切口，并通过左侧后外侧标准开胸术进行了下叶切除术。病例2是一名65岁男性，同时首先通过正中胸骨切开术对LAD进行了主动脉冠状动脉搭桥术，并进行了左舌叶切除术。我们得出结论，在大多数选定的病例中，同时进行手术绝对是且理想地是一种更好的方法。还讨论了冠状动脉和肺部两种手术的顺序。
