Peña E, Blanco M, Otero T
Vigo University, Clinical Hospital, Vigo, Spain.
Rev Port Pneumol. 2013 Nov-Dec;19(6):284-6. doi: 10.1016/j.rppneu.2013.05.003. Epub 2013 Jul 27.
Video-assisted thoracoscopic surgery (VATS) is an approach to resection of bronchogenic cysts (BC) which is effective and viable. There may be complications as a result of pericystic adhesions to neighboring structures during dissection. This report describes an unusual case of an operative complication, the rupture of the main left bronchus. The initial VATS approach was converted into a right thoracotomy to remove the cyst and suture the bronchus once adequate exposure was obtained. Bronchus reconstruction failed and a few hours later, it was necessary to perform a left thoracotomy. A left pneumonectomy was required after the attempt to reconstruct the anastomosis was ruled out. The conclusion is that great care should be taken when using VATS approach for BC with adhesions.
电视辅助胸腔镜手术（VATS）是一种切除支气管囊肿（BC）的有效且可行的方法。在解剖过程中，囊肿周围与相邻结构的粘连可能导致并发症。本报告描述了一例罕见的手术并发症——左主支气管破裂。最初采用VATS方法，在获得充分暴露后，转为右胸切开术以切除囊肿并缝合支气管。支气管重建失败，几小时后，有必要进行左胸切开术。在排除重建吻合术的尝试后，需要进行左肺切除术。结论是，对于有粘连的支气管囊肿采用VATS方法时应格外小心。
