Pulmonary arteriography for the assessment of technical feasibility of sleeve resection in lung cancer.
Pulmonary arteriography for the assessment of technical feasibility of sleeve resection in lung cancer.
复制标题
肺动脉造影用于评估肺癌袖状切除术的技术可行性。
DOI：
10.1016/s0003-4975(96)01371-9
复制
发表时间：
1997
影响因子：
4.6
通讯作者：
F. Pearson
中科院分区：
文献类型：
--
作者：
R. Suri;S. Keshavjee;S. Herman;K. Sniderman;F. Pearson
背景肺动脉造影已被报道用于肺癌患者术前评估，通过对左右肺主动脉成像来确定肺切除术的技术可切除性和可行性。在这份报告中，我们描述了选择性肺动脉造影在评估肺叶可切除性中的应用。方法选择性肺动脉造影提供了肺叶分支的详细解剖视图，并在过去的30年中在我们的机构中用于术前调查适合袖状肺叶切除术的患者。结果描述了3例病例，证明了选择性肺动脉造影在评估肺叶可切除性中的有用性袖状切除术在肺癌patients.ConclusionsArteriographic结果可能准确地显示是否袖状肺叶切除术在技术上是可能的，只有一个肺切除术是可能的，或唯一的安全方法，以确保清除肺动脉是执行arteriorplasty。对于根据生理评估判断不能耐受肺切除术的患者，这些信息可能会避免不必要的开胸手术。
BackgroundPulmonary arteriography has been reported to be useful in the preoperative assessment of patients with lung cancer to determine the technical resectability and feasibility of pneumonectomy by imaging the main right and left pulmonary arteries. In this report, we describe the use of selective pulmonary arteriography in the assessment of lobar resectability.MethodsSelective pulmonary arteriography provides a detailed anatomic view of the lobar branches and has been used at our institution for the past 30 years to preoperatively investigate patients who are candidates for a sleeve lobectomy.ResultsThree cases are described that demonstrate the usefulness of selective pulmonary arteriography in the assessment of the technical feasibility of sleeve resection in patients with lung cancer.ConclusionsArteriographic findings may accurately show whether a sleeve lobectomy is technically possible, that only a pneumonectomy is possible, or that the only safe way to ensure clearance of the pulmonary artery is to perform arterioplasty. This information may obviate an unnecessary thoracotomy in patients who are judged on the basis of a physiologic assessment to be unable to tolerate a pneumonectomy.