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复杂的S10+S7b分段切除术通过肺带方法基于B7分支模式.

Yukitaka Sato1, Fumitsugu Kojima1, Shinsaku Kabemura1

  • 1Department of Thoracic Surgery, St. Luke's International Hospital, Tokyo, Japan.

Surgical case reports
|November 7, 2025
PubMed
概括

细分切除术是早期肺癌的标准,但右基底病变具有挑战性. 通过肺带方法,为肺癌进行了复杂的S10+S7b细分切除术,并进行了双边B7分支.

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:

  • 分段切除术是早期肺癌的标准治疗方法.
  • 由于复杂的B7支气管分支模式,右基底段 (S10) 分段切除在技术上具有挑战性.
  • B7的分支模式与基底静脉 (BV) 相比,在解剖学上有所不同:腹部,双边和背部.

研究的目的:

  • 报告成功完成右S10肺癌的复杂细分切除术.
  • 证明肺带 (PL) 方法对挑战B7分支模式的实用性.
  • 在右基底段切除术中为手术规划提供参考.

主要方法:

  • 一名70岁的患有cT1miN0M0 S10肺癌的女性患者接受了三端口视频辅助胸部手术 (VATS).
  • 使用肺带 (PL) 方法,进行手术前的支气管镜标记,以确定分段间平面.
  • 手术涉及B7b (背部分支) 的剖析,随后是S10和S7b血管,支气管和动脉的顺序划分.

主要成果:

  • 一个成功的S10+S7b复合段切除术进行了肺癌与双边B7分支模式.
  • 肺带 (PL) 方法提供了复杂的B7解剖学的清晰可视化,并促进了解剖.
  • 患者经历了无事件的术后恢复,并在术后第6天出院,R0切除 (20毫米边缘).
关键词:
B7 有分支的 B7 有分支的S10 分段切除术复杂的细分切除术是一个复杂的细分切除术.肺带的方法.

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结论:

  • 肺带 (PL) 方法对于复杂的右基底细分切除术是有效的,特别是那些双边B7分支的.
  • B7 (B7b) 的背部分支的初始剖析有助于进入S10结构.
  • 这个案例突显了PL方法在改善对具有挑战性的细分切除术的可视化和外科计划方面的价值.