RESUMO
A right aortic arch is an anomaly of prenatal development characterized by location of aortic arch to the right from tracheal-esophageal complex. This variant of anatomy is usually asymptomatic and diagnosed accidentally. We performed open upper lobectomy for cancer of the upper lobe of the right lung in a patient with aortic arch dextraposition. Classical right-sided upper lobectomy in patients with right aortic arch is associated with certain difficulties. The most difficult objective is total excision of lymph nodes because trachea is hidden under aortic arch. A specific complication may be postoperative hoarseness associated with iatrogenic damage to the right recurrent laryngeal nerve.
Assuntos
Aorta Torácica , Neoplasias Pulmonares , Humanos , Aorta Torácica/diagnóstico por imagem , Aorta Torácica/cirurgia , Aorta Torácica/anormalidades , Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/cirurgia , Neoplasias Pulmonares/patologia , Nervo Laríngeo Recorrente/patologia , Linfonodos/patologia , TóraxRESUMO
Zones and smaller structural unit, segments, were distinguished anatomically in the pancreas on the basis of the distribution of the vessels in it and formation of its duct. The detected features of the vessels and ducts of the human pancreas make it possible to reduce the traumatic character of the operative interventions on this organ and develop radically new surgical procedures in the treatment of diseases and traumas of the pancreas.