Anatomy of inferior pulmonary vein should be clarified in lower lobectomy

Sugimoto, Satoru; Izumiyama, O; Yamashita, Akio; Baba, Masahito; Hasegawa, Tadashi

doi:10.1016/s0003-4975(98)00999-0

Cited by 32 publications

(23 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The experience of Sugimoto et al (1998) with two operated patients having right middle lobe veins that emptied into the right lower lobe vein, showed that the preoperative identification of this anomaly was possible by carefully analyzing the preoperative CT scan. Such an observation was confirmed in a radiologic evaluation of 107 right and 113 left lower lobes by Jardin and Remy (1986).…”

Section: Discussionmentioning

confidence: 99%

Variations of pulmonary vessels: Some practical implications for lung resections

et al. 2009

View full text Add to dashboard Cite

Anatomical variations of the bronchi and lung vessels may be important obstacles during lung resection if overlooked. We designed this study to determine the frequency and types of variations of lung vessels during lung resections. In a 3[1/2]-year-period, anatomical variations were recorded and registered by digital photography at the hilar and/or interlobar areas during lung resection surgery on 140 patients. Variations of the pulmonary blood vessels were observed in 23 patients. Of these, 12 patients had variations of the middle lobe vessels. Middle lobe veins emptying into the right inferior pulmonary vein, and middle lobe arteries originating from the artery for the basal segments, were observed in four patients each; two separate middle lobe arteries and a low origin of the middle lobe artery existed in three and one patient, respectively. Among seven patients with variations of the lingular vessels, the lingular artery originating from the artery for the basal segments was found in three patients; the remaining variations referred to absent or low origin of the lingular artery (in one patient each), and to an aberrant lingular vein, separate from the upper lobe vein (two patients). A single unilateral pulmonary vein and a left-sided bronchial tree completely behind the pulmonary artery existed in three and one patient, respectively. Potential problems related to these variations during resectional lung surgery are discussed. Awareness of the most frequent variations is of utmost importance for safe lung resections.

show abstract

Section: Discussionmentioning

confidence: 99%

Variations of pulmonary vessels: Some practical implications for lung resections

et al. 2009

View full text Add to dashboard Cite

show abstract

“…An increasing number of literature reports suggest that, within this protocol, computed tomography should be routinely performed before each thoracotomy or video-assisted thoracoscopic surgery in order to detect the potential variations described above. This form of examination may reduce the number of dangerous vascular complications [13][14][15][16].…”

Section: Venous Systemmentioning

confidence: 99%

Thoracic surgery Anatomic variations of pulmonary vessels relevant with regard to lung tissue resections – literature review and personal experiences

Polaczek¹,

Religioni²,

Orłowski³

2013

kitp

View full text Add to dashboard Cite

StreszczenieMałoinwazyjne metody anatomicznych resekcji miąższu płuc-nego stają się klinicznym standardem. Wymagają one od chirurga świetnej znajomości anatomii operowanego obszaru. Stworzono kompleksowy opis anatomii prawidłowej oraz znanych z piśmiennictwa zmienności naczyń płucnych na uży-tek torakochirurgii. Przeanalizowano również 642 przypadki zabiegów resekcji miąższu płucnego u pacjentów z rakiem niedrobnokomórkowym płuca operowanych w Klinice Chirurgii Instytutu Gruźlicy i Chorób Płuc w Warszawie, poszukując wzmianek o zmiennościach anatomicznych dostrzeżonych w trakcie zabiegu. Wyniki tej analizy zostały porównane z danymi z piśmiennictwa. Zmienność w obrębie układu tętniczego opisano w 8,72% przypadków, a układu żylnego w 3,12% przypadków. Częstość ta jest niższa, niż zakładana na postawie danych dostępnych w piśmiennictwie. Opisano natomiast kilka bardzo rzadkich, ale potencjalnie niebezpiecznych odmian. Słowa kluczowe: tętnice płucne, żyły płucne, zmienność.Kardiochirurgia i Torakochirurgia Polska 2013; 10 (3) 232 THORACIC SURGERY AbstractThe less invasive methods of lung tissue resection are becoming a clinical standard. This obligates surgeons to be well trained in the field of anatomy. Thus, we decided to create a comprehensive description of normal anatomy as well as anatomical variations of pulmonary vessels for the purpose of thoracic surgery procedures. We also retrospectively analyzed a database of 642 patients with lung cancer who underwent lung tissue resection at the Department of Surgery of the National Tuberculosis and Lung Diseases Research Institute in Warsaw (Poland), searching for descriptions of the anatomic variations observed during the surgical procedures. The results were subsequently compared to existing literature data. Variations of the arterial system were found in 8.72% of cases. Variations of the venous system were described in 3.12%. The frequency of variations in our database is lower than previously suspected based on the literature data. Nevertheless, several rare and potentially dangerous variations were described.

show abstract

“…Variations of pulmonary veins have been reported [1,2]. If these abnormalities are not considered, life-threatening complications such as uncontrolled bleeding, severe lung edema, or a greater extent of lung resection than expected may occur [3,4]. The efficacy of preoperative assessment of pulmonary vessels has been reported using three-dimensional CT for better understanding of the anatomical structure [5].…”

Section: Discussionmentioning

confidence: 99%