Variations in the branching patterns of pulmonary artery during thoracoscopic pulmonary resection.

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Tytuł:: Variations in the branching patterns of pulmonary artery during thoracoscopic pulmonary resection.
Autorzy:: Amore D; Department of Thoracic Surgery, Monaldi Hospital, 1 Leonardo Bianchi St, 80131, Naples, Italy. .
Casazza D; Department of Thoracic Surgery, Monaldi Hospital, 1 Leonardo Bianchi St, 80131, Naples, Italy.
Caterino U; Department of Respiratory Diseases, Monaldi Hospital, Naples, Italy.
Imitazione P; Department of Respiratory Diseases, Monaldi Hospital, Naples, Italy.
Saglia A; Department of Respiratory Diseases, Monaldi Hospital, Naples, Italy.
Izzo A; Department of Respiratory Diseases, San Giuseppe Moscati Hospital, Avellino, Italy.
Rispoli M; Department of Anesthesia and Intensive Care, Monaldi Hospital, Naples, Italy.
Curcio C; Department of Thoracic Surgery, Monaldi Hospital, 1 Leonardo Bianchi St, 80131, Naples, Italy.
Źródło:: Surgical and radiologic anatomy : SRA [Surg Radiol Anat] 2021 Aug; Vol. 43 (8), pp. 1331-1336. Date of Electronic Publication: 2021 Feb 15.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: Berlin ; New York : Springer International, c1986-
MeSH Terms:: Anatomic Variation*
Intraoperative Complications/*prevention & control
Pneumonectomy/*adverse effects
Pulmonary Artery/*abnormalities
Thoracic Surgery, Video-Assisted/*adverse effects
Humans ; Intraoperative Complications/etiology ; Lung/blood supply ; Lung/surgery ; Pneumonectomy/methods ; Pulmonary Artery/injuries ; Retrospective Studies ; Thoracic Surgery, Video-Assisted/methods
References:: Cory RA, Valentine EJ (1959) Varying patterns of the lobar branches of the pulmonary artery. A study of 524 lungs and lobes seen at operation of 426 patients. Thorax 14:267–280. (PMID: 10.1136/thx.14.4.267)
Fourdrain A, De Dominicis F, Blanchard C et al (2018) Three-dimensional CT angiography of anatomic variations in the pulmonary arterial tree. Surg Radiol Anat 40:45–53. (PMID: 10.1007/s00276-017-1914-z)
Hagiwara M, Shimada Y, Kato Y et al (2014) High-quality 3-dimensional image simulation for pulmonary lobectomy and segmentectomy: results of preoperative assessment of pulmonary vessels and short-term surgical outcomes in consecutive patients undergoing video-assisted thoracic surgery. Eur J Cardiothorac Surg 46:e120–e126. (PMID: 10.1093/ejcts/ezu375)
Hong JH, Kim HJ, Han DH, Sung SH, Ahn MI, Jung JI (2015) Arteria praebronchialis found on MDCT: potentially dangerous aberrant artery supplying the left lower lobe. Surg Radiol Anat 37:1021–1026. (PMID: 10.1007/s00276-015-1455-2)
Mizukami Y, Ueda N, Adachi H (2018) Intraoperative diagnosis with abnormal branching of the left A8 pulmonary artery from the left main pulmonary artery. Surg Case Rep 4:68. (PMID: 10.1186/s40792-018-0475-7)
Murlimanju BV, Massand A, Madhyastha S, Pai MM, Prabhu LV, Saralaya VV (2017) Anatomical variations of the arrangement of structures at the pulmonary hilum: a cadaveric study. Surg Radiol Anat 39:51–56. (PMID: 10.1007/s00276-016-1716-8)
Sivrikoz MC, Tulay CM (2011) Variations of lobar branches of pulmonary arteries in thoracic surgery patients. Surg Radiol Anat 33:509–514. (PMID: 10.1007/s00276-011-0777-y)
Sonoda D, Mikubo M, Shiomi K, Satoh Y (2016) Abnormal branching of the left lingular pulmonary artery diagnosed by three-dimensional computed tomographic angiography in a patient with lung cancer: a case report. J Cardiothorac Surg 11:17. (PMID: 10.1186/s13019-016-0402-6)
Subotich D, Mandarich D, Milisavljevich M, Branislav F, Nikolich V (2009) Variations of pulmonary vessels: some practical implications for lung resections. Clin Anat 22:698–705. (PMID: 10.1002/ca.20834)
Contributed Indexing:: Keywords: Lung resection; Pulmonary artery; Thoracic surgery; Variations
Entry Date(s):: Date Created: 20210216 Date Completed: 20210909 Latest Revision: 20210909
Update Code:: 20240104
DOI:: 10.1007/s00276-021-02677-x
PMID:: 33590266
: Czasopismo naukowe

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Purpose: The knowledge of variations in the branching patterns of pulmonary artery may have important clinical implications in the field of thoracic surgery.
Methods: At the Department of Thoracic Surgery of Monaldi Hospital in Naples, between January 2017 and December 2019, 569 anatomic pulmonary resections via video-assisted thoracic surgery, including lobectomy and segmentectomy, were performed.
Results: Among the 569 thoracoscopic pulmonary resections, 24 variations in the branching patterns of pulmonary artery were identified and documented. Anatomic variations on the left were more frequent than on the right.
Conclusion: This paper, providing a summary of vascular anomalies identified during major lung resections, could help surgeons avoid intraoperative complications, especially during minimally invasive procedures where the visual field is more restricted than open surgery.
(© 2021. The Author(s), under exclusive licence to Springer-Verlag France SAS part of Springer Nature.)

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