On September 6, the Third Department of Thoracic Surgery of Jiangxi Provincial Chest Hospital successfully carried out the first case of single-port VATS percutaneous selective venography in our hospital with resection of the right lower lobe. The patient is a 42-year-old young woman. In 2019, a thin-layer CT examination of the chest in our hospital showed that a 7*6mm ground glass nodule was seen in the dorsal segment of the lower lobe of the right lung. After nearly 2 years of dynamic follow-up, the chest thin-layer CT was reviewed It is suggested that the nodule enlarges to 9*7mm and stretches the adjacent lung fissure. At the same time, the patient had moderate anemia, and the operation risk was high. Before the operation, the team of deputy chief physician Zheng Renshan discussed the possibility of malignant lesions of the right lower lobe dorsal nodule, and decided to directly perform single-port thoracoscopy for this patient Resection of the dorsal segment of the right lower lobe.
, Inject contrast agent through internal jugular vein. In the thoracoscopic fluorescence imaging mode, the dorsal segment of the right lower lobe is clearly distinguished from other lung tissues. After marking along the edge of the imaging, the lower right is accurately and accurately The dorsal segment of the lung was excised, and the lower right lung tissue was preserved as much as possible. With extensive surgical experience, Director Zheng’s team not only ensured the complete resection of the lesion, but also avoided damage to normal lung tissue as much as possible. The surgical team cooperated and successfully completed the operation in a short period of time. The blood loss during the operation was only about 20ml. The frozen pathology report during the operation indicated that the adhering growth was the main type of adenocarcinoma. The patient's vital signs after the operation were stable and he returned to the ward.
The thoracoscopic segmentectomy in our hospital is very mature. On this basis, the percutaneous selective fluorescent agent indocyanine green angiography is added to distinguish the expansion and collapse of lung segments (requires 15-20 minutes) compared to judging the boundary of the lung segment, lung segment plane judgment is more accurate and rapid, shortening the operation time (only 2 minutes), and it is worthy of clinical application.
Early detection, early diagnosis, and early treatment of lung cancer can enable patients to obtain a better prognosis. With the continuous development of medical technology, the Department of Thoracic Surgery in our hospital has evolved from traditional thoracic surgery to single-port lobectomy In modern thoracic surgery, where the operation ratio exceeds 90%, the clinical application of new technologies will further benefit more patients.
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