左上肺癌合并先天性完全左侧心包缺损一例  

Upper left lung cancer with congenital complete left pericardial defect: A case report

作　　者：段传辉 喻东亮[1] 熊剑文[1] 张文雄[1] 毛宇昂 宋钱 魏益平[1] DUAN Chuanhui;YU Dongliang;XIONG Jianwen;ZHANG Wenxiong;MAO Yu'ang;SONG Qian;WEI Yiping(Department of Cardiothoracic Surgery,The Second Affiliated Hospital ofNanchang University,Nanchang,330006,P.R.China)

机构地区：[1]南昌大学第二附属医院心胸外科,南昌330006

出　　处：《中国胸心血管外科临床杂志》2022年第2期272-274,共3页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：本文报道了1例54岁无症状男性患者,因ⅡB期左肺鳞状细胞癌接受胸腔镜下左全肺切除术,术中意外发现完全左侧心包缺损,回顾术前胸部CT,提示心脏异常向左延伸,但心包缺损并不明显,未采取特殊干预。手术时间204 min,术后第9 d康复出院。术后病理提示左肺中分化鳞状细胞癌,支气管旁淋巴结(3/5)见癌转移,病理分期:T2N1M0,ⅡB期。因患者原因术后未接受化学治疗,术后6个月复查无复发征象。完全性心包缺损通常不会危及患者生命,对于无症状患者,全肺切除术是可行的。A 54-year-old asymptomatic man underwent a video-assisted thoracoscopic left pneumonectomy for squamous-cell carcinoma.During the surgery,a complete left pericardial defect was unexpectedly discovered,but no special intervention was made.The preoperative chest CT was reciewed,which showed the heart extended unusually to the left,but the left pericardial defect was not evident.The operation time was 204 min and the patient was discharged from hospital upon recovery 9 days after the surgery.The pathological result indicated moderately differentiated squamous-cell carcinoma(T2 N1 M0,stageⅡB),and metastasis was found in the parabronchial lymph nodes(3/5).The patient did not receive chemotherapy after the surgery,and there was no signs of recurrence 6 months after the surgery.Complete pericardial defects usually do not endanger the lives of patients,and if the patient is asymptomatic,pneumonectomy is feasible.

关 键 词：胸腔镜手术 左全肺切除术 心包缺损 病例报告 

分 类 号：R734.2[医药卫生—肿瘤] R541.1[医药卫生—临床医学]