机器人左下袖肺叶切除与支气管成形术,以去除类癌肿瘤。

Journal of visualized surgery Pub Date : 2018-04-27 eCollection Date: 2018-01-01 DOI:10.21037/jovs.2018.04.06
Gerald J S Tan, Jun Shang Poon, Paul L Z Khoo, Andrel W H Yoong, Marco Nardini, Joel Dunning
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引用次数: 1

摘要

肺类癌约占所有肺肿瘤的1-2%。它们来源于肠染色质细胞,也被称为“库奇斯基细胞”,通常具有惰性生长和发育模式。根据每高倍视场有丝分裂的数量和坏死的存在,类癌肿瘤被划分为典型或非典型。在治疗方面,手术切除已被认为是肺类癌肿瘤的标准治疗方法。据我们所知,在英国,达芬奇系统和机器人手术尚未应用于袖状肺叶切除术和支气管成形术中,以去除类癌肿瘤。因此,我们提出一个病例的袖状肺叶切除术与支气管成形术,以去除一个类癌肿瘤位于病人的左下肺叶。使用V-lock缝合和Prolene缝合修复支气管,并使用达芬奇机器人手术系统进行手术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Robotic left lower sleeve lobectomy with bronchoplasty for the removal of a carcinoid tumour.

Robotic left lower sleeve lobectomy with bronchoplasty for the removal of a carcinoid tumour.

Robotic left lower sleeve lobectomy with bronchoplasty for the removal of a carcinoid tumour.

Lung carcinoid tumours constitute approximately 1-2% of all pulmonary tumours. They are derived from enterochromaffin cells, which are also known as 'Kulchitsky cells' and generally have indolent growth and development patterns. Carcinoid tumours are categorized as typical or atypical, depending on the number of mitoses per high power field and the presence of necrosis. In terms of management, surgical resection has been recognized to be the standard treatment for pulmonary carcinoid tumours. To our knowledge, the da Vinci system and robotic surgery have not been applied in sleeve lobectomies and bronchoplasty for the removal of carcinoid tumours in the United Kingdom. Therefore, we present a case of a sleeve lobectomy with bronchoplasty procedure for the removal of a carcinoid tumour located in the left lower lobe of the patient. The bronchus was repaired using a V-lock suture & Prolene sutures with the surgery performed using the da Vinci robotic surgical system.

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