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一个罕见的部分异常肺静脉连接患者的视频辅助胸腔镜叶切除术:病例报告

Xiayimaierdan Yibulayin¹, Guliniaer Feida², Xiaohong Sun¹

¹Department of Thoracic Surgery, Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, China.

|May 12, 2025

概括

对于同一侧有部分异常肺静脉连接 (PAPVC) 的肺癌患者来说,没有纠正静脉异常的手术可能是安全的. 当没有血液动力学妥协时,这种方法是合适的.

科学领域:

心血管外科心血管外科
胸部瘤学胸部瘤学
遗传性心脏病是一种先天性心脏病.

背景情况:

部分异常肺静脉连接 (PAPVC) 是一种罕见的先天性血管异常.
在无症状个体中,PAPVC通常不会被检测出来.
PAPVC和肺癌的共存带来了独特的外科手术挑战.

研究的目的:

为了评估肺癌手术干预的安全性和有效性,在患有ipsilateral PAPVC的患者.
为了确定在这种情况下是否需要静脉纠正.

主要方法:

一名55岁的男性患者提出了偶然发现的左下叶肺部质量.
确立了肺肉类瘤和同时存在的PAPVC的诊断.
患者接受了视频辅助胸腔镜左下叶切除术,没有纠正PAPVC.

主要成果:

患者经历了带切除术后的成功康复.
没有观察到与PAPVC相关的手术内或术后并发症.
在14个月的随访期间,患者的健康状况仍然良好.

结论:

仅仅通过解剖性叶片切除术可以在血液动力学上微不足道的双侧PAPVC患者中为肺癌提供安全有效的外科选择.
在所有肺癌和PAPVC同时存在的病例中,静脉正可能不需要.

关键词:

癌症癌症癌症癌症癌症脑叶切除术 (lobectomy) 是一种脑叶切除术.部分异常的肺静脉连接肺部肉类瘤的癌症.

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