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首页> 美国卫生研究院文献>Chinese Journal of Lung Cancer >Combined Double Sleeve Lobectomy and Superior Vena Cava Resection for Non-small Cell Lung Cancer with Persistent Left Superior Vena Cava
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Combined Double Sleeve Lobectomy and Superior Vena Cava Resection for Non-small Cell Lung Cancer with Persistent Left Superior Vena Cava

机译：联合双袖肺叶切除术和上腔静脉切除术治疗非小细胞肺癌伴持续左上腔静脉

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摘要

A 65-year-old man with right central type of lung squamous carcinoma was admitted to our department. Bronchoscopy displayed complete obstruction of right upper lobe bronchus and infiltration of the bronchus intermedius with tumor. Chest contrast computed tomography revealed the tumor invaded right pulmonary artery, superior vena cava, and the persistant left superior vena cava flowed into the coronary sinus. The tumor was successfully removed by means of bronchial and pulmonary artery sleeve resection of the right upper and middle lobes combined with resection and reconstruction of superior vena cava (SVC) utilizing ringed polytetrafluoroethylene graft. To the best of our knowledge, this was the first report of complete resection of locally advanced lung cancer involving superior vena cava, right pulmonary artery trunk and main bronchus with persistant left superior vena cava.
机译：我院收治一名患有右中枢型肺鳞癌的65岁男子。支气管镜检查显示右上叶支气管完全阻塞，中间支气管被肿瘤浸润。胸部对比计算机断层扫描显示，肿瘤侵犯了右肺动脉，上腔静脉，而残留的左上腔静脉流入冠状窦。通过右上中叶的支气管和肺动脉套管切除术，结合环状聚四氟乙烯移植物的上腔静脉（SVC）切除术和切除术，成功切除了肿瘤。据我们所知，这是第一例完全切除局部晚期肺癌的报告，累及上腔静脉，右肺动脉干和主支气管并伴有左上腔静脉。

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