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

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3.0mm,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5d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。

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 5d 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.