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在患有先天性心周缺陷的患者中,没有心周重建的左下叶切除术

Jun Miura¹, Hiroyuki Ito¹, Hiroyuki Adachi¹

¹Department of Thoracic Surgery, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi, Yokohama, Kanagawa, 241-8515, Japan.

Interdisciplinary cardiovascular and thoracic surgery

|July 8, 2023

概括

本案例报告详细介绍了肺癌患者的左下叶切除术成功的情况,该患者患有先天性左侧心周完整缺陷. 仔细剖析严重的膜粘附是患者的关键.

科学领域:

心胸外科手术心胸外科手术
胸部瘤学胸部瘤学
遗传性疾病遗传性疾病

背景情况:

出生完整的左侧心周缺陷是罕见的.
肺癌需要手术干预,通常是叶片切除术.
严重的多叶膜粘附会使胸部手术复杂化.

研究的目的:

报告一个患有肺癌和先天性心周缺陷的患者左下叶切除术的病例.
在这种情况下,要强调手术技术来管理严重的肺部粘附.
在复杂的病例中证明视频辅助胸腔镜手术 (VATS) 的可行性.

主要方法:

进行了左下叶片切除术,并进行了中枢节点解剖.
使用视频辅助胸腔镜手术 (VATS).
仔细剖析心上表皮和肺之间严重的粘附是至关重要的.

主要成果:

在没有心周重建的情况下完成了VATS左下叶切除术.
患者在术后20个月内保持无症状.
严重的多叶膜粘附的成功管理得到了实现.

结论:

在患有先天性心周缺陷的患者中,胸腔镜治疗肺癌是可行的.
对严重的心脏相关粘附的仔细剖析对于患者的安全至关重要.
在切除术期间,在所有先天性心周缺陷的病例中,心周重建可能不需要.

关键词:

输卵管切除术 (lobectomy) 是一个切除术.肺癌是一种肺癌.周心缺陷是指心周缺陷.严重的粘附性严重的粘附性

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