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一女性患者,70岁,因右侧胸痛,CT检查发现双侧肺部有四个结节,右上肺有两个,左上肺、左下肺各一个,就诊我院胸外科,经医生分析判断,双侧四个都是原发性肺癌(同时性多原发肺癌,SMPLC)。患者年龄大,病灶多,如何诊治和手术是个非常棘手的问题,国际上也没有满意的解决办法。经过周密的准备,主刀医生刘伦旭教授决定采用当前最先进的单孔胸腔镜技术,同时为患者做双侧手术。首先在左侧胸壁作一个长度为3 cm的手术孔,切除左肺上叶和左肺下叶结节。然后变换手术体位,在右侧胸壁作一个长度为4 cm的手术孔,行右上肺叶切除并清除淋巴
A female patient, 70 years old, because of right chest pain, CT examination found four lungs in bilateral lungs, two in the right upper lung, one in the left upper lung and one in the left lower lung. They were referred to our department for thoracic surgery. Bilateral four are primary lung cancer (multiple primary lung cancer, SMPLC). Patients with large age, multiple lesions, how to diagnosis and surgery and surgery is a very difficult issue, there is no satisfactory international solution. After careful preparation, surgeon Liu Lunxu decided to use the most advanced single-hole thoracoscopic technology, while doing bilateral surgery for patients. First, in the left chest wall for a length of 3 cm surgical holes, removal of left upper lobe and left lung lobe nodules. Then change the surgical position, in the right chest wall for a length of 4 cm surgical holes, the line of the right upper lobe resection and removal of lymph