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The Japanese Journal of Thoracic Surgery Volume 74, Issue 12 （November 2021）

胸部外科 74巻12号（2021年11月発行）

Japanese English

症例

胸腔鏡下左肺上葉切除術時に偶然発見された先天性心膜欠損症の1例 Congenital Pericardial Defect Incidentally Found at Thoracoscopic Left Upper Lobe Resection：Report of a Case 中村泰幸 ¹ , 鶴田航大 ¹ , 進藤悠真 ¹ , 新井航 ¹ , 槙龍之輔 ¹ , 宮島正博 ¹ , 渡辺敦 ¹ Yasuyuki Nakamura ¹ , Kodai Tsuruta ¹ , Yuma Shindo ¹ , Wataru Arai ¹ , Ryunosuke Maki ¹ , Masahiro Miyajima ¹ , Atsushi Watanabe ¹ ¹札幌医科大学呼吸器外科 ¹Department of Thoracic Surgery, Sapporo Medical University, School of Medicine and Hospital キーワード：先天性心膜欠損症 , 胸腔鏡下手術 , 肺癌 , 左肺上葉切除 Keyword: congenital defect of the pericardium , thoracoscopic surgery , lung cancer , left upper lobectomy pp.1051-1054

発行日 2021年11月1日 Published Date 2021/11/1

DOI https://doi.org/10.15106/j_kyobu74_1051

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はじめに　先天性心膜欠損症は比較的まれで，剖検や開胸術時に偶然発見されることが多い．われわれは，胸腔鏡下左肺上葉切除時に偶然発見された先天性心膜欠損症を経験したので報告する．

We report a rare case of a congenital pericardial defect that was incidentally found at thoracoscopic left upper lobe resection in a patient with lung cancer. A 75-year-old man with a left upper lobe lung cancer was referred to our hospital. We performed thoracoscopic left upper lobectomy and incidentally found a pericardial defect intraoperatively. Careful lymph node dissection was necessary to avoid injury of phrenic nerve and pulmonary artery. Surgery for lung cancer was completed without pericardial repair. After surgery, no complications associated with the pericardial defect has not been encountered.