单孔胸腔镜左上肺联合亚段(LS3b+c)切除术治疗早期肺癌
Unilateral single-port VATS left lung subsegmentectomy for the management of early-stage lung carcinoma:combined subsegmentectomy of left S3b+c
杨毓灵 1洪江泉 1林益民 1张奕1
作者信息
- 1. 福建医科大学附属漳州市医院胸心外科,福建 漳州,363000
- 折叠
摘要
患者体检发现左上肺前段磨玻璃结节,肿瘤实性成分占比(CTR)<0.5,考虑早期肺癌.三维CT支气管血管成像(3 D-CTBA)结果提示肺结节位于左上肺前段b亚段外周 1/3,临近c亚段,远离a亚段.结合日本临床肿瘤协作组(JCOG)1211 临床研究结果,予行单孔胸腔镜左上肺联合亚段(LS3 b+c)切除术.最终手术病理提示高分化贴壁生长型为主浸润性腺癌,纵隔淋巴结均未见转移,切缘充足.肺联合亚段切除既能完整切除病灶,又可以最大程度保留肺功能,推荐用于处理 3 cm以下且CTR≤0.5 的肺磨玻璃结节.
Abstract
During a health screening,a mixed ground-glass nodule(mGGN)with a CTR<0.5 was observed in the left upper lobe on chest CT and subsequently diagnosed as early-stage lung carcinoma.The 3 D-CTBA reconstruction revealed that the pulmonary nodule was situated in the peripheral third of the B subsegment of the left upper lung lobe,adjacent to the C subsegment and distanced from the A subsegment.Unilateral single-port VATS left upper lung combined subsegmentectomy of left S3 b+c was performed.The final surgical pathology indicated highly differentiated lepidic predominant adenocarcinoma(LPA),with no metastasis to mediastinal lymph nodes.It was shown that pulmonary combined subsegmentectomy not only completely excised the lesion but also better preserved lung functions.It is recommended for the treatment of pulmonary ground-glass nodules measuring less than 3 cm and with a CTR≤0.5.
关键词
肺联合亚段切除术/单孔胸腔镜/肺磨玻璃结节Key words
lung combined subsegmentectomy/unilateral single-port VATS/ground-glass nodule引用本文复制引用
出版年
2024
NETL
NSTL
万方数据