中华腔镜外科杂志(电子版) ›› 2024, Vol. 17 ›› Issue (03) : 160 -163. doi: 10.3877/cma.j.issn.1674-6899.2024.03.006 × 扫一扫
临床技术
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通信作者:
Hong Shen1, Nan Cheng1, Bo Yang1, Hua Shen1, Lin Zhang1, Dong Li1, Lianggang Li1, Shiyong Dong1, Shengli Jiang1,†()
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申宏, 成楠, 杨博, 申华, 张林, 李东, 李梁钢, 董士勇, 姜胜利. 全胸腔镜同期心肺联合手术治疗主动脉瓣关闭不全合并原发性肺癌[J]. 中华腔镜外科杂志(电子版), 2024, 17(03): 160-163.
Hong Shen, Nan Cheng, Bo Yang, Hua Shen, Lin Zhang, Dong Li, Lianggang Li, Shiyong Dong, Shengli Jiang. Totally thoracoscopic invasive one-stage combined heart-lung surgery for aortic valve insufficiency and primary pulmonary carcinoma[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2024, 17(03): 160-163.
总结全胸腔镜心肺联合手术治疗主动脉瓣关闭不全合并原发性肺癌的早期临床效果及经验优势。
回顾性分析2023年7月在解放军总医院第一医学中心心脏大血管外科进行的第一例全胸腔镜同期主动脉瓣置换联合右肺上叶楔形切除术的临床资料。
患者在全胸腔镜下同期先后进行了右肺上叶楔形切除术和主动脉瓣置换术，手术过程顺利，患者术后恢复良好。术后半年复查心脏超声、胸部CT等相关检查，结果满意。
采用胸腔镜微创手术方式治疗心脏瓣膜病变合并肺癌，降低了多次手术对患者的手术创伤以及多次住院所带来的住院成本负担，同时也证明了该心肺联合手术方式的安全性和可行性。
To sum the early clinical effect and experience advantages of totally thoracoscopic combined heart-lung surgery for mitral regurgitation combined with lung cancer.
A retrospective analysis of clinical data was conducted on the first case of totally thoracoscopic minimally invasive aortic valve replacement combined with right upper lung lobe wedge resection performed in Jul. 2023 at the First Medical Center of the Chinese PLA General Hospital.
The patient underwent right upper lobectomy and aortic valve replacement under thoracoscopy simultaneously, and the surgical procedure was smooth, with good postoperative recovery. Follow-up at six months postoperatively, including echocardiography and chest CT, showed satisfactory results.
The use of thoracoscopic minimally invasive surgery for the treatment of heart valve disease combined with lung cancer reduced the surgical trauma to the patients from multiple surgeries and the financial burden of multiple hospitalizations. It also demonstrated the safety and feasibility of this combined heart-lung surgical approach.