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Thoracoscopic Segmentectomy for Right Upper Lobe With Unique Anatomic Variation.

Jianbin Zhang¹, Hongwei Li¹, Caihua Yu¹

¹Department of Thoracic Surgery, Huzhou Central Hospital, Affiliated Central Hospital of Huzhou University, Huzhou, Zhejiang, China.

The Annals of Thoracic Surgery

|December 27, 2021

Summary

This summary is machine-generated.

Rare combined variations of the bronchus and pulmonary vein were found in a lung adenocarcinoma patient. Three-dimensional imaging revealed unique anatomical differences in the right upper lobe, enabling precise surgical intervention.

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Area of Science:

Thoracic surgery
Medical imaging
Anatomy

Background:

Combined anatomical variations of bronchi and pulmonary veins are infrequently documented.
Accurate pre-operative anatomical assessment is crucial for planning complex thoracic surgeries.

Observation:

A 32-year-old male patient with lung adenocarcinoma presented with a rare anatomical variation in the right upper lobe.
Three-dimensional computed tomography bronchography and angiography revealed unique branching patterns of subsegmental bronchi and shared venous trunks.

Findings:

The posterior subsegmental bronchi originated unusually from the apical and anterior segmental bronchi.
The apical subsegmental vein shared a common trunk with the posterior subsegmental vein.

Implications:

This detailed anatomical understanding facilitated the precise execution of a combined pulmonary segmentectomy.
Such rare variations highlight the importance of advanced imaging in thoracic oncology and surgical planning.