首页> 外文期刊>Annals of thoracic and cardiovascular surgery: official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia >A surgical case of lung cancer in a patient with the left superior and inferior pulmonary veins forming a common trunk.
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A surgical case of lung cancer in a patient with the left superior and inferior pulmonary veins forming a common trunk.

机译:左肺上静脉和下肺静脉形成一条主干的患者的外科手术肺癌。

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摘要

The anatomical abnormalities of the pulmonary veins may have a serious impact on complications that may arise during pulmonary lobectomy. We present a surgical case of left lung cancer in a patient, who was a 69-year-old male, with the left superior and inferior pulmonary veins forming a common trunk outside the pericardium. In this present case, because of extensive adhesions, incomplete lobulation, and tumor infiltration of the main pulmonary artery, we could not identity the common trunk with certainty before excising the left upper lobe. Although this patient was fortunately discharged without complications, there was no choice but to perform pneumonectomy because of the interruption of the inferior pulmonary vein. Retrospectively, the preoperative CT films showed the anatomical anomalies involving the pulmonary veins. However, since the length of the common trunk outside the pericardium was short and the inferior pulmonary vein was thinner than usual and its venous distribution conformed to a normal structure, the anatomy appeared normal. In excising the pulmonary lobe, it is mandatory to ascertain the distribution of the vascular system prior to surgery.
机译:肺静脉的解剖异常可能严重影响肺叶切除术中可能出现的并发症。我们介绍了一名患者的左肺癌手术病例,该患者为一例69岁的男性,左上,下肺静脉形成了心包外的常见干线。在本例中,由于广泛的粘连,不完整的小叶形成和主要肺动脉的肿瘤浸润,我们在切除左上叶之前无法确定性地确定普通主干。尽管幸运的是,该患者出院时没有并发症,但由于肺下静脉中断,别无选择,只能进行肺切除术。回顾性地,术前CT胶片显示涉及肺静脉的解剖异常。但是,由于心包外总干线的长度短,并且肺下静脉比通常的细,并且其静脉分布符合正常结构,因此解剖结构看起来是正常的。在切除肺叶时,必须在手术前确定血管系统的分布。

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