经软性支气管镜圈套器成功切除巨大支气管内错构瘤

Large Endobronchial Hamartoma Successfully Resected by Snare Through Flexible Bronchoscopy.

作者信息

Kim Jin Hyoung, Jeong Gyeong Min, Park Kyung Hye, Han Se Eun, Lee Jong Min, Park Chui Yong, Ra Seung Won, Seo Kwang Won, Jegal Yangjin, Lee Taehoon

机构信息

Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea.

出版信息

Ann Thorac Surg. 2015 Sep;100(3):1107-9. doi: 10.1016/j.athoracsur.2014.11.063.

DOI:10.1016/j.athoracsur.2014.11.063

PMID:26354645

Abstract

Benign pulmonary tumors are rare, composing less than 1% of pulmonary tumors; of these, hamartomas are the most common. Endobronchial hamartomas are rarer still, composing 1.4% of all pulmonary hamartomas. As therapeutic bronchoscopy has improved, it has replaced conventional operations for resection of endobronchial benign tumors, although there are limitations to the procedure in the case of large tumors causing complete obstruction. The present report describes a case of a large endobronchial hamartoma inducing total lung atelectasis, which was successfully resected using an electrosurgical snare through flexible bronchoscopy. This could be a useful option in select endobronchial tumors.

摘要

良性肺肿瘤较为罕见，占肺肿瘤的比例不到1%；其中，错构瘤最为常见。支气管内错构瘤更为罕见，占所有肺错构瘤的1.4%。随着治疗性支气管镜检查技术的改进，它已取代传统手术用于切除支气管内良性肿瘤，尽管对于导致完全阻塞的大肿瘤，该手术存在局限性。本报告描述了一例导致全肺肺不张的大型支气管内错构瘤病例，通过柔性支气管镜使用电外科圈套器成功切除。对于某些支气管内肿瘤，这可能是一种有用的选择。