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

作　　者：杨毓灵 洪江泉 林益民 张奕 YANG Yuling;HONG Jiangquan;LIN Yimin;ZHANG Yi(Department of Cardiothoracic Surgery,Zhangzhou Affiliated Hospital of Fujian Medical University,Zhangzhou,Fujian 363000,China)

机构地区：[1]福建医科大学附属漳州市医院胸心外科,福建漳州363000

出　　处：《手术电子杂志》2024年第5期16-17,共2页Electronic Journal of Medical Operations

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(3D-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。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 

分 类 号：R73[医药卫生—肿瘤]