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目的:探讨1例应用胸腔镜行右肺上叶切除并支气管成形术治疗右肺中心型肺癌病例临床效果,同时进行胸腔镜下肺叶切除、支气管成形术的文献复习。方法:胸腔镜下游离、处理上叶动静脉后,楔形切除部分右主支气管,纵行缝针挂线,间距3.0mm,由两侧向中心依次系紧缝线完成吻合重建通畅气道。结果:患者术后恢复顺利,术后5d拔管。病理回报为右肺上叶中分化鳞状细胞癌。术后复查胸部CT右肺中下叶膨胀良好。结论:病例选择适当,胸腔镜行右肺上叶切除、支气管成形术治疗右肺上叶开口处的右肺中心型肺癌是可行的,且效果良好。
Objective: To investigate the clinical effect of thoracoscopic resection of right upper lobe and bronchoplasty in the treatment of right lung center-type lung cancer, and to review the literature of thoracoscopic lobectomy and bronchoplasty. METHODS: After thoracoscopic surgery, the right main bronchus was wedge resected and the longitudinal stitches were hung with a spacing of 3.0 mm. The anastomotic airway was reconstructed by stitching the suture from the two sides to the center. Results: The patients recovered well after extubation 5 days after operation. Pathological findings were differentiated squamous cell carcinoma of the right upper lobe. Postoperative chest CT chest right middle and lower lobe swelling well. CONCLUSIONS: Appropriate choice of cases, thoracoscopic right upper lobe resection, bronchoplasty in the right upper lobe of the lung center of lung cancer is feasible and good results.