胸腔镜肺段切除术解剖基础

1、胸腔镜肺段切除术解剖基础复旦大学附属中山医院胸外科林宗武解剖基础命名记忆学习交流左上肺固有段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右中肺右中肺外侧段S4内侧段S5右下肺背段S6背段下段S*基底段S8-10内基底段S7前基底段S8外基底段S9后基底段S10段间的判断段间裂膨胀萎陷法左上肺解剖左上肺支气管解剖左上肺固有段支气管尖后段支气管B1+2尖亚段B1+2a后亚段B1+2b外亚段B1+2c前段支气管B3外亚段支气管B3a内亚段支气管B3b上亚段支气管B

2、3c舌段支气管上舌段支气管B4外亚段支气客B4a内亚段支气管B4b下舌段支气管B5上亚段支气管B5a下亚段支气管B5b左上肺动脉解剖左上肺动脉固有段动脉A1+2+3尖后段动脉A1+2尖亚段动脉A1+2a后亚段动脉A1+2b外亚段动脉A1+2c前段动脉A3外亚段动脉A3a内亚段动脉A3b上亚段动脉A3c舌段动脉A4+5上舌段动脉A4外亚段动脉A4a内亚段动脉A4b下舌段动脉A5上亚段动脉A5a下亚段动脉A5b左上肺静脉解剖左上肺静脉固有段静脉V1+2+3尖后段静脉V1+2V1+2a：S1+2a和S3c之间V1+2b：S1+2a和S1+2b之间V1+2c：S1+2b和S1+2c之间V1+2d：S1

3、+2c和S3a之间前段静脉V3V3a：S3a和S3b之间V3b：S3b和S4b之间V3c：S3b和S3c之间舌段静脉V4+5上舌段静脉V4V4a：S4a和S4b之间V4b：S4b和S5a之间下舌段静脉V5V5a：S5a和S5b之间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动脉变异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肺动脉CTA3D重建了解