术前3D重建、术中CT定位荧光胸腔镜下右肺下叶外后基底段精准切除术

doi:10.3877/cma.j.issn.1674-6899.2018.03.018

中华腔镜外科杂志(电子版) ›› 2018, Vol. 11 ›› Issue (03) : 180 -182. doi: 10.3877/cma.j.issn.1674-6899.2018.03.018

所属专题：精准医疗；经典病例；文献；

病例报告

术前3D重建、术中CT定位荧光胸腔镜下右肺下叶外后基底段精准切除术

马永富¹, 姚洁¹, 陈瑞骥¹, 李宬润¹, 李云婧¹, 陈思禹¹, 杨博¹, 郭俊唐¹, 梁朝阳¹, 刘阳¹^,^†(

)

^1. 100853　北京，解放军总医院胸外科

收稿日期:2018-01-10 出版日期:2018-06-30
通信作者: 刘阳

Precise lung S9 + S10 segmentecomy using preoperative 3D reconstruction, intraoperative CT-guided hookwire location and ICG flurosence

Yongfu Ma¹, Jie Yao¹, Ruiji Chen¹

Received:2018-01-10 Published:2018-06-30

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引用本文：

马永富, 姚洁, 陈瑞骥, 李宬润, 李云婧, 陈思禹, 杨博, 郭俊唐, 梁朝阳, 刘阳. 术前3D重建、术中CT定位荧光胸腔镜下右肺下叶外后基底段精准切除术[J/OL]. 中华腔镜外科杂志(电子版), 2018, 11(03): 180-182.

Yongfu Ma, Jie Yao, Ruiji Chen. Precise lung S9 + S10 segmentecomy using preoperative 3D reconstruction, intraoperative CT-guided hookwire location and ICG flurosence[J/OL]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2018, 11(03): 180-182.

图1 术前CT可见右肺下叶外后基底段磨玻璃密度影

图2 术前3D重建，精准制定手术方案

图3 术中CT引导下Hookwire穿刺准确

图4 游离出下叶各支动脉

图5 荧光模式下显示精准、清除的段间平面

图6 荧光模式下显示精准、清除的段间平面

图7 解剖游离出外后基底段支气管

图8 术后标本，肿物准确位于外后基底段，切缘大于2 cm

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