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单通道胸腔镜扩展的右侧顶角切除术与虚拟辅助肺部映射:一个案例报告

Masahiro Yanagiya¹, Ami Wada², Nobuyasu Awano³

¹Department of Thoracic Surgery, Japanese Red Cross Medical Center, 4-1-22 Hiroo, Shibuya-Ku, Tokyo, 150-8935, Japan. myanagiya@mvb.biglobe.ne.jp.

Surgical case reports

|October 3, 2023

概括

虚拟辅助肺部映射在使用单门视频辅助胸部手术的早期肺癌精确扩展细分切除中有助,确保最佳边缘和成功的瘤切除.

科学领域:

胸部外科手术胸部外科手术
手术瘤学手术瘤学
肺部医学肺部医学

背景情况:

扩展细分切除术是早期非小细胞肺癌的外科选择.
实现最佳的外科手术边缘对于成功的结果至关重要.
单门视频辅助胸部手术 (UVATS) 提供了一种最少的侵入性方法.

研究的目的:

描述使用UVATS进行扩展细分切除的具有挑战性的案例.
突出虚拟辅助肺部绘图 (VALM) 在复杂情况下的实用性.
为了证明VALM在瘤定位和切除计划中的成功应用.

主要方法:

一名72岁的患有早期肺癌的女性患者接受了扩展的右角细分切除术.
由于手术内识别挑战,VALM被用于术前瘤定位.
该手术是通过UVATS进行的,使用VALM标记和附带通风来划分切除平面.

主要成果:

在单门视频辅助胸部手术期间,VALM标记明显可见.
沿着划分的切除线成功完成了扩展的角切除.
患者经历了一个无事件的术后恢复.
病理学发现证实了微侵袭性腺癌和adenocarcinoma in situ.

结论:

虚拟辅助肺部映射是通过单门视频辅助胸部手术实现最佳扩展细分切除的宝贵工具.
VALM提高了瘤定位和切除计划的精度,特别是在具有挑战性的病例中.
这种技术有助于成功地对早期肺癌进行最小侵入性治疗.

关键词:

肺癌是一种肺癌.分段切除术是指分段切除术.胸部外科手术胸部外科手术统一门户的增值税服务

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