胸腔鏡肺段切除術解剖基礎

1、胸腔鏡肺段切除術解剖基礎復旦大學附屬中山醫(yī)院胸外科林宗武解剖基礎命名記憶學習交流左上肺固有段S1+2+3尖后段S1+2前段S3舌段S4+5上舌段S4下舌段S5左下肺背段S6背段下段S*基底段S8-10前基底段S8外基底段S9后基底段S10右上肺右上肺尖段S1后段S2前段S3右中肺右中肺外側段S4內側段S5右下肺背段S6背段下段S*基底段S8-10內基底段S7前基底段S8外基底段S9后基底段S10段間的判斷段間裂膨脹萎陷法左上肺解剖左上肺支氣管解剖左上肺固有段支氣管尖后段支氣管B1+2尖亞段B1+2a后亞段B1+2b外亞段B1+2c前段支氣管B3外亞段支氣管B3a內亞段支氣管B3b上亞段支氣管B

2、3c舌段支氣管上舌段支氣管B4外亞段支氣客B4a內亞段支氣管B4b下舌段支氣管B5上亞段支氣管B5a下亞段支氣管B5b左上肺動脈解剖左上肺動脈固有段動脈A1+2+3尖后段動脈A1+2尖亞段動脈A1+2a后亞段動脈A1+2b外亞段動脈A1+2c前段動脈A3外亞段動脈A3a內亞段動脈A3b上亞段動脈A3c舌段動脈A4+5上舌段動脈A4外亞段動脈A4a內亞段動脈A4b下舌段動脈A5上亞段動脈A5a下亞段動脈A5b左上肺靜脈解剖左上肺靜脈固有段靜脈V1+2+3尖后段靜脈V1+2V1+2a：S1+2a和S3c之間V1+2b：S1+2a和S1+2b之間V1+2c：S1+2b和S1+2c之間V1+2d：S1

3、+2c和S3a之間前段靜脈V3V3a：S3a和S3b之間V3b：S3b和S4b之間V3c：S3b和S3c之間舌段靜脈V4+5上舌段靜脈V4V4a：S4a和S4b之間V4b：S4b和S5a之間下舌段靜脈V5V5a：S5a和S5b之間V5b：S5b下方左上肺解剖左上肺的解剖右上肺的解剖右下肺的解剖右肺動脈變異Artery variationRULBRLLBRMLBWhich artery?Uniportal VATS right lower lobectomyArtery variationLower lobemiddle lobeupper lobeA6A2A4A5Uniportal VATS

4、right lower lobectomyArtery variationLower lobemiddle lobeupper lobeA2A6 stumpUniportal VATS right lower lobectomyVein variationLeft upper lobeV1+2+3 stumpV4+5LLLBIPVUniportal VATS left upper lobectomyVein variationV1+2+3 stumpV4+5 stump IPVLULBLLLBUniportal VATS left upper lobectomyVein variationIPVV6V2Bronchus variation in LLL After left upper lobectomyBronchusstumpBronchusstumpOpen surgery Left upper lobectomyBronchus variation RLLBB6B2肺動脈CTA3D重建了解