Kyobu geka. The Japanese journal of thoracic surgery · 2021
[Ingenuity for Completion of Thoracoscopic Pulmonary Resection after Esophageal Cancer Treatment].
СтатьяНазвание и аннотация: Перевод в очереди
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Eba Shunsuke, Tanaka Ryota, Watanabe Yui, Watanabe Tatsuaki, Hirama Takashi, Notsuda Hirotsugu, Suzuki Takaya, Oishi Hisashi, Niikawa Hiromichi, Noda Masafumi, Sakurada Akira, Okada Yoshinori
Аннотация
In recent years, with the improvement of diagnostic techniques and treatment outcomes, the number of lung cancer cases after esophageal cancer treatment has been increasing. In general, severe adhesions are expected in the right lung, during lung resection after esophageal cancer surgery. In this study, we reviewed intraoperative findings of lung resection with respect to the influence of different treatment methods for esophageal cancer, the site of adhesion formation for each lobe, and the techniques and precautions for lung resection. There were no difficulty in the left upper major segmentectomy. During the left lower lobectomy, the inflammation around the inferior pulmonary vein was noted. The adhesions between the reconstructed gastric tube and the inferior pulmonary vein were found during the right lower lobectomy. During the right upper lobectomy, severe adhesions between the lung and the superior vena cava as well as the gastric tube in the posterior mediastinum were observed, which should be paid much attention.