[右侧上叶切除术在患有右主动脉的病人:一个病例报告和文献综述]
E V Mogilevets1, A A Sushko1, I G Zhuk1
1Grodno State Medical University, Grodno, Belarus.
Khirurgiia
|February 12, 2024
概括
右大动脉门是一种罕见的解剖变异. 本案例报告详细介绍了患有这种疾病的患者肺癌手术期间的挑战,并强调了潜在的并发症.
科学领域:
- 心血管外科心血管外科
- 胸部瘤学 胸部瘤学
- 解剖学的变化 解剖学的变化
背景情况:
- 右主动脉门是一种罕见的先天性异常,主动脉位于气管的右侧.
- 这种解剖学变异通常是无症状的,通常是偶然发现的.
- 在患有右主动脉弧的患者中,手术治疗胸部疾病带来了独特的挑战.
研究的目的:
- 描述在患有右大动脉的患者中为右肺癌开放式上叶切除术时遇到的外科考虑和潜在困难.
- 为了突出淋巴结解剖中的挑战,由于大动脉,气管和食道之间的解剖关系发生了变化.
- 为了强调对右喉神经反复发生的阳性损伤和随后的声的风险.
主要方法:
- 一个患者的病例报告,因为右上叶肺癌而接受开放式上叶切除术.
- 详细描述了手术方法和管理由右大动脉门所带来的解剖挑战.
- 专注于淋巴结切除和循环喉神经的保存.
主要成果:
- 患者经历了成功的开放式上叶切除术.
- 在淋巴结解剖过程中遇到了特定的困难,原因是大动脉门遮住了气管.
- 由于重复的喉神经损伤,术后声的可能性被认为是一种特定的并发症.
结论:
- 在患有右主动脉弧的患者胸部手术的手术规划需要仔细考虑解剖变异.
- 意识到潜在的并发症,如重复的喉神经损伤,对于最佳的患者结果至关重要.
- 这一案例凸显了针对罕见解剖异常的量身定制手术策略的重要性.
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