胸腔镜McKeown食道切除术在患有阿齐戈斯叶片的患者身上
Rie Nakashima1, Kohei Tajima1, Kazuo Koyanagi2
1Department of Gastroenterological Surgery, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, 259-1193, Japan.
Journal of cardiothoracic surgery
|March 16, 2024
概括
胸腔镜McKeown食道切除术对于患有阿齐戈斯叶的患者的食道癌是可行的. 对于外科医生来说,在手术前确定阿齐戈斯叶对于在胸前手术期间预防手术内损伤至关重要.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术瘤学手术瘤学
- 解剖学上的变化.
背景情况:
- 阿齐戈斯叶是一种罕见的解剖学变异,在胸部手术期间存在潜在风险.
- 食道癌需要手术干预,通常涉及跨胸部方法.
- 以前的胸内感染可能导致粘附,使手术过程复杂化.
研究的目的:
- 报告成功的胸腔镜McKeown食道切除术在一个食道癌症患者与一个azygos叶.
- 突出在胸部外科手术中术前识别阿齐戈斯叶的重要性.
主要方法:
- 一个案例介绍,一个83岁的男性患有食道癌症,并偶然发现了眼叶.
- 患者接受了胸腔镜麦克凯恩食道切除术与3场淋巴结剖析.
- 手术管理涉及到仔细识别和绑定阿齐戈斯静脉.
主要成果:
- 胸腔镜食道切除术成功完成,尽管胸内粘附.
- 亚齐戈斯叶和亚齐戈斯静脉被确定并安全管理.
- 患者经历了无事件的术后恢复,并在第21天出院.
结论:
- 在手术前识别阿齐戈斯叶对于预防胸部手术期间的手术内伤害至关重要.
- 消化管外科医生必须准备好安全地管理亚齐戈斯叶,以避免严重的并发症.
- 这一案例证明了胸腔镜McKeown食道切除术在患有阿齐戈斯叶患者中的可行性.
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