来自印度的肺部第一例病例报告的下上部 (S*) 分段切除术
Sai Naga Sri Sajja1, Vijayraj S Patil1, Megha B1
1Department of Surgical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka 560029 India.
Indian journal of thoracic and cardiovascular surgery
|March 16, 2026
概括
这项研究详细介绍了印度首次报告的肺转移综合上部 (S6) 和下部 (S*) 分段切除术的病例. 识别S*段对于精确的肺部手术和维护功能至关重要.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术解剖学手术解剖学
- 在瘤学瘤学.
背景情况:
- 寡聚性肺病变往往需要治疗意图的手术.
- 细分切除术是一种护膜节约方法,需要精确的解剖学知识.
- 上下 (S*) 段是一个未被认可的下叶变体,具有显著的发病率.
研究的目的:
- 报告印度首例联合上部 (S6) 和下部 (S*) 细分切除术的病例.
- 强调在肺转移的手术规划中承认S*段的重要性.
- 为了说明在复杂的下叶切除过程中成功的瘤清除和肺功能保存.
主要方法:
- 一个38岁男性的病例报告,患有突肉瘤肺转移.
- 对比增强计算机断层扫描 (CECT) 与3D重建用于病变定位.
- 扩展了S6和S*的细分切除,使用了利用细分切除原理优化边际 (OMPS) 算法和通胀-通缩方法.
主要成果:
- 成功结合S6和S*细分切除术用于肺转移.
- 患者经历了一次无事件的康复,在他的病理学上得到证实了负边缘.
- 证明了在保持肺功能的同时实现瘤目标的可行性.
结论:
- 在肺切除术中,识别上下部 (S*) 段对于准确的手术规划至关重要.
- 这一案例强调了解剖意识的重要性,尤其是在S*等变种文献有限的地区.
- 了解S*段解剖学可以改善肺转移的复杂下叶外科手术的结果.
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