A dangerous venous variation in thoracoscopic right lower lobectomy.
Anatomical variations of the pulmonary vessels present a potential risk of intraoperative bleeding and damage to pulmonary circulation during pulmonary resection. We present details of a dangerous variation of the superior pulmonary vein associated with thoracoscopic right lower lobectomy that could potentially be divided if there was no preoperative foreknowledge of individual vessel configurations.
Endo
Shunsuke
S
Department of General Thoracic Surgery, Saitama Medical Center, Jichi Medical University, Omiya-ku, Saitama, Japan. tcvshun@jichi.ac.jp
Tsubochi
Hiroyoshi
H
Nakano
Tomoyuki
T
Sohara
Yasunori
Y
D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000601:surgery*; D000369:Aged, 80 and over; D016063:Blood Loss, Surgical / Q000517:prevention & control; D005260:Female; D005500:Follow-Up Studies; D006488:Hemostasis, Surgical / Q000379:methods; D006801:Humans; D021621:Imaging, Three-Dimensional; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D016343:Monitoring, Intraoperative / Q000379:methods; D011013:Pneumonectomy / Q000379:methods*; D011300:Preoperative Care / Q000379:methods; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000000981:diagnostic imaging; D018570:Risk Assessment; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods*; D016896:Treatment Outcome