基于保留功能的肺叶切除术的背侧基底肺切除术:单中心经验。

Bing Han, Zheng Qin, Peirui Chen, Liqiang Yuan, Mingqiang Diao
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引用次数: 0

摘要

目的:保留功能的肺叶切除术(FPSL)是一种新的节段切除术和楔形切除术的平衡策略,可以在不使用任何术前定位标记的情况下快速准确地切除不可见的结节。本研究旨在分享基于FPSL的单中心背侧基底肺切除术的经验,为胸外科医生提供新的手术选择。方法:对2021年1月至2022年8月在XX医院行FPSL胸腔镜下基底肺切除术的13例患者进行回顾性分析。平均手术时间为107.5±25.6分钟。平均术后住院时间为3.7±2.4天。没有一个病人需要延长切除时间,例如整个基底叶或下叶切除术。结论:我们的单中心经验表明,FPSL方法只处理目标血管,大大降低了手术的技术难度。此外,动脉和静脉都可以作为靶血管,特别是在叶间裂不发育的情况下,手术仍然可以成功完成。基于FPSL的背侧基底肺切除术可能是外科医生的一种新的手术选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Lateral Dorsal Basal Lung Resection Based on Functional Preserving Sublobectomy Method: Single-Center Experience.

Purpose: Functional preserving sublobectomy (FPSL), a novel balancing strategy for segmentectomy and wedge resection, allows rapid and accurate removal of invisible nodules without the use of any preoperative localization markers. This study aimed to share single-center experience of lateral dorsal basal lung resection based on FPSL, so as to provide new surgical options for thoracic surgeons.

Methods: A retrospective analysis was performed on 13 patients who underwent thoracoscopic basal lung resection after FPSL at XX hospital from January 2021 to August 2022.

Results: The operation was successfully performed in 13 patients by using FPSL, including 12 patients with malignant tumors. The mean operating time was 107.5 ± 25.6 min. The mean postoperative hospital stay was 3.7 ± 2.4 days. None of the patients needed extended excision, such as an entire basal or inferior lobectomy.

Conclusion: Our single-center experience showed that the FPSL method only dealt with the target vessels, which greatly reduced the technical difficulty of surgery. In addition, both arteries and veins could be used as target vessels, and in particular cases such as undeveloped interlobar fissure, the operation could still be completed successfully. Lateral dorsal basal lung resection based on FPSL may be a new surgical option for surgeons.

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