单孔左侧中叶切除术在全瘫患者中的应用：病例报告

IF 1.5 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Cardiothoracic Surgery Pub Date : 2024-09-19 DOI:10.1186/s13019-024-03098-8

Xinyu Jia, Xinyu Zhu, Shiyu Shen, Zihao Lu, Kunpeng Feng, Kai Fu, Jun Zhao, Chang Li

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引用次数: 0

摘要

全腹腔移位症（Situs inversus totalis，SIT）是一种罕见的隐性常染色体疾病，涉及胸腔和腹腔内脏在左右轴上的完全移位。SIT 合并肺癌的患者极为罕见。我们介绍了一例 57 岁的 SIT 女性患者，她因肺腺癌接受了单门视频辅助胸腔镜左中叶切除术。根据术前三维计算机断层扫描支气管和血管造影术（3D-CTBA），该手术在充分的解剖学识别和谨慎的术中操作下安全进行。患者围手术期一切顺利，术后两年未见复发。有了三维计算机断层扫描的术前规划，单孔视频辅助胸腔镜肺叶切除术在肺癌坐位患者中可以安全有效地进行。

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Uniportal left middle lobectomy in a patient with situs inversus totalis: a case report

Situs inversus totalis (SIT), a rare recessive autosomal disease, involves the complete transposition of the thoracic and abdominal viscera in the left-right axis. Patients with SIT combined with lung cancer are extremely uncommon. We present a case of a 57-year-old woman with SIT who underwent uniportal video-assisted thoracoscopic left middle lobectomy for adenocarcinoma of the lung. The procedure was performed safely with adequate anatomical identification and careful intraoperative manipulation based on the preoperative three-dimensional-computed tomography bronchography and angiography (3D-CTBA). The patient’s perioperative period was uneventful, and no recurrence was observed 2 year postoperatively. With the preoperative planning of the 3D-CTBA, uniportal video-assisted thoracoscopic lobectomy in lung cancer patients with sit can be performed safely and effectively.

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来源期刊

Journal of Cardiothoracic Surgery 医学-心血管系统

CiteScore

2.50

自引率

6.20%

发文量

286

审稿时长

4-8 weeks

期刊介绍： Journal of Cardiothoracic Surgery is an open access journal that encompasses all aspects of research in the field of Cardiology, and Cardiothoracic and Vascular Surgery. The journal publishes original scientific research documenting clinical and experimental advances in cardiac, vascular and thoracic surgery, and related fields. Topics of interest include surgical techniques, survival rates, surgical complications and their outcomes; along with basic sciences, pediatric conditions, transplantations and clinical trials. Journal of Cardiothoracic Surgery is of interest to cardiothoracic and vascular surgeons, cardiothoracic anaesthesiologists, cardiologists, chest physicians, and allied health professionals.