The surgical technique for complete resection of lung cancer invading the intrapericardial pulmonary vein and left atrium

被引：1

作者：

Kuroda, Koji ^{[1
]}

Mori, Masataka ^{[1
]}

Shinohara, Syuichi ^{[1
]}

Oyama, Rintaro ^{[1
]}

Matsumiya, Hiroki ^{[1
]}

Kanayama, Masatoshi ^{[1
]}

Taira, Akihiro ^{[1
]}

Shinohara, Shinji ^{[1
]}

Kuwata, Taiji ^{[1
]}

Tanaka, Fumihiro ^{[1
]}

机构：

[1] Univ Occupat & Environm Hlth, Thorac Surg Div, Dept Surg 2, 1-1 Iseigaoka Yahatanishiku, Kitakyushu, Fukuoka, Japan

来源：

SURGERY TODAY | 2021年 / 51卷 / 03期

关键词：

Lung cancer; Left atrium; Atrial cuff; CARDIOPULMONARY BYPASS;

D O I：

10.1007/s00595-020-02089-1

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

In patients with lung cancer invading the left atrium, performing complete resection is difficult. In many cases of complete resection, pneumonectomy is performed. We herein report two techniques in which complete resection with negative margins at the intrapericardial pulmonary vein and left atrium was achieved without pneumonectomy. In the first technique, the groove of the pericardium between the right and left atrium was dissected and an atrial cuff was made in a manner that elongated the intrapericardial pulmonary vein. In the second technique, traction was applied to the atrial cuff, and only the middle lobe vein of the elongated pulmonary vein was resected, to perform atrial cuff plasty. The upper lobe vein and inferior pulmonary vein could be preserved. These techniques of PV elongation and atrial cuff plasty are suitable for both achieving complete resection and lung preservation for lung cancer patients with invasion of the left atrium.

引用

页码：452 / 456

页数：5

共 8 条

[1] Left Atrial Resection for T4 Lung Cancer Without Cardiopulmonary Bypass: Technical Aspects and Outcomes [J].