Inoue Masayoshi, Nakagawa Katsuhiro, Kameda Makoto, Toyoshima Kyoichiro, Yasumitsu Tsutomu
Department of Surgery, Osaka Prefectural Habikino Hospital, Habikino, Osaka, Japan.
Jpn J Thorac Cardiovasc Surg. 2002 Oct;50(10):439-42. doi: 10.1007/BF02913179.
We treated a 15-year-old patient with spontaneous pneumothorax associated with Swyer-James syndrome using video-assisted thoracoscopic surgery (VATS). Thoracic computed tomography showed hyperlucent areas in the bilateral lungs. Due to major air leakage continuing for a week, we conducted VATS bullectomy. Because the opposite lung suffered hypoplasia, intermittent bilateral pulmonary ventilation was required to sustain an adequate PaO2 in arterial blood gas analysis during surgery. Because of recurrent pneumothorax, we performed reoperation 10 months later, finding a few newly generated bullae. To the best of our knowledge, this is the first report of VATS used to treat a Swyer-James syndrome patient with pneumothorax.
我们使用电视辅助胸腔镜手术（VATS）治疗了一名患有与斯怀尔-詹姆斯综合征相关的自发性气胸的15岁患者。胸部计算机断层扫描显示双侧肺部有透亮区。由于严重漏气持续了一周，我们进行了VATS肺大疱切除术。由于对侧肺发育不全，手术期间需要间歇性双侧肺通气以维持动脉血气分析中足够的动脉血氧分压（PaO2）。由于气胸复发，我们在10个月后进行了再次手术，发现有一些新产生的肺大疱。据我们所知，这是首例使用VATS治疗患有气胸的斯怀尔-詹姆斯综合征患者的报告。
