肺癌患者胸腔镜下右肺上叶切除并支气管成形术1例报告及文献复习

doi:10.13481/j.1671-587x.20150133

吉林大学学报(医学版) ›› 2015, Vol. 41 ›› Issue (01): 169-171.doi: 10.13481/j.1671-587x.20150133

肺癌患者胸腔镜下右肺上叶切除并支气管成形术1例报告及文献复习

林风武¹, 程坤鹏¹, 张强², 马文端¹, 韩阳东³, 戚良晨¹, 马乐⁴, 王洋⁴, 张超⁴

1. 吉林大学中日联谊医院胸外科, 吉林长春 130033;
2. 吉林大学第四医院胸外科, 吉林长春 130011;
3. 吉林大学中日联谊医院麻醉科, 吉林长春 130033;
4. 吉林大学中日联谊医院手术室, 吉林长春 130033

收稿日期:2014-09-27 发布日期:2015-01-30
通讯作者: 林风武,副教授,硕士研究生导师(Tel:0431-84996732,E-mail:fengwulin@hotmail.com) E-mail:fengwulin@hotmail.com
作者简介:林风武(1973-),男,吉林省临江市人,副教授,医学博士,主要从事胸部微创手术的基础及临床研究。
基金资助:
吉林省科技厅国际合作项目资助课题(3D512K323430)

VATS right upper lobectomy and bronchoplasty:1 case report with literature review

LIN Fengwu¹, CHENG Kunpeng¹, ZHANG Qiang², MA Wenduan¹, HAN Yangdong³, QI Liangchen¹, MA Le⁴, WANG Yang⁴, ZHANG Chao⁴

1. Department of Thoracic Surgery, China-Japan Union Hospital, Jilin University, Changchun 130033, China;
2. Department of Thoracic Surgery, Fourth Hospital, Jilin University, Changchun 130011, China;
3. Department of Anesthesiology, China-Japan Union Hospital, Jilin University, Changchun 130033, China;
4. Operating Room, China-Japan Union Hospital, Jilin University, Changchun 130033, China

Received:2014-09-27 Published:2015-01-30

摘要/Abstract

摘要：

目的: 探讨1例应用胸腔镜行右肺上叶切除并支气管成形术治疗右肺中心型肺癌病例临床效果,同时进行胸腔镜下肺叶切除、支气管成形术的文献复习。方法: 胸腔镜下游离、处理上叶动静脉后,楔形切除部分右主支气管,纵行缝针挂线,间距3.0 mm,由两侧向中心依次系紧缝线完成吻合重建通畅气道。结果: 患者术后恢复顺利,术后5 d拔管。病理回报为右肺上叶中分化鳞状细胞癌。术后复查胸部CT右肺中下叶膨胀良好。结论: 病例选择适当,胸腔镜行右肺上叶切除、支气管成形术治疗右肺上叶开口处的右肺中心型肺癌是可行的,且效果良好。

关键词: 肺肿瘤, 电视辅助胸腔镜手术, 支气管成形术

Abstract:

Objective To explore the curative effect of one case of right central location lung cancer treated by VATS right upper lobectomy and bronchoplasty, and to review the associated literature. Methods Wedge resection of right main bronchus was performed after mobilization and division of upper bobe vessels, then two edges were approximated with 3 mm stitch interval. Results The postoperative recovery was satisfied with 5 d chest tube duration.The pathologic result demonstrated squamous lung cancer and CT scan showed well inflated remnant lobes. Conclusion VATS right upper lobectomy and bronchoplasty is a good procedure choice for the patients with right upper lobe cental location lung cancer with VATS indications.

Key words: lung neoplasms, video-assisted thoracic surgery, bronchoplasty

中图分类号:

R734.2

林风武, 程坤鹏, 张强, 马文端, 韩阳东, 戚良晨, 马乐, 王洋, 张超. 肺癌患者胸腔镜下右肺上叶切除并支气管成形术1例报告及文献复习[J]. 吉林大学学报(医学版), 2015, 41(01): 169-171.

LIN Fengwu, CHENG Kunpeng, ZHANG Qiang, MA Wenduan, HAN Yangdong, QI Liangchen, MA Le, WANG Yang, ZHANG Chao. VATS right upper lobectomy and bronchoplasty:1 case report with literature review[J]. Journal of Jilin University Medicine Edition, 2015, 41(01): 169-171.

参考文献

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肺癌患者胸腔镜下右肺上叶切除并支气管成形术1例报告及文献复习

VATS right upper lobectomy and bronchoplasty:1 case report with literature review

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