从右中或下肺向右上肺静脉的异常排水:有多常见?
Yeong Jeong Jeon1, Hong Kwan Kim1, Yong Soo Choi1
1Department of Thoracic and Cardiovascular Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea.
World journal of surgery
|January 20, 2026
概括
异常的静脉排水进入右上肺静脉是常见的右中叶和右下叶切除. 这些手术数据凸显了需要仔细进行手术前成像检查和手术后评估,以防止并发症.
科学领域:
- 胸部外科手术 胸部外科手术
- 解剖病理学 解剖病理学
- 手术解剖学手术解剖学
背景情况:
- 肺静脉 (PV) 解剖学变化在右叶切除术期间至关重要.
- 不被识别的异常静脉增加了手术风险.
- 对于这些变异,只有有限的经过手术验证的数据存在.
研究的目的:
- 调查异常静脉排水的患病率和模式.
- 专注于右中叶 (RML) 和右下叶 (RLL) 排水到右上肺静脉 (RUPV).
主要方法:
- 审查了213名接受右上或中叶切除术的患者 (2019年3月 - 2021年4月).
- 在手术期间记录了异常的静脉排水模式.
- 使用视频辅助胸腔镜手术 (VATS) 采用裂第一,末的方法.
主要成果:
- 在60名患者 (28%) 观察到异常静脉排水.
- 44名患者的RML到RUPV排水 (20.7%);22名患者的RLL到RUPV排水 (10.3%).
- 最常见的是:RUPV的辅助RML静脉 (49名患者);辅助RLL静脉 (20名患者).
结论:
- 异常的RML和RLL流向RUPV是常见的,与先前的研究一致.
- 通过手术验证的数据提升了对这些变异的了解.
- 强调细致的手术内评估和手术前成像检查,以避免并发症.
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