右肺癌に対する中葉とS6区域管状切除の1例

Sleeve Lobectomy for Right Middle Lobe and S6 Segment Lung Cancer：Report of a Case

はじめに　肺癌に対する管状肺葉切除術は，肺機能の温存と根治性の両立をめざした手術である1）．われわれは，間質性肺炎を合併した右肺中葉と右B6入口部ならびに左肺上葉の3重複肺癌に対し，右肺中葉およびS6区域管状切除術と左肺部分切除術を施行した症例を経験したので，報告する．

A 76-year-old man showed an abnormal chest shadow at the follow-up of treated gastric cancer. Chest computed tomography revealed mass lesions in the right middle and left upper lobes, and bronchoscopy revealed a nodular lesion at the entrance of the right B6. The right middle lobe and B6 lesions were diagnosed as lung cancer, and sleeve resection for the right middle lobe and S6 segment was performed. On postoperative day 98, partial resection of the left lung lesion was performed, and the pathological diagnosis was also lung cancer.