Sihoe Alan D L, Luo Qigang, Shao Guangqiang, Li Yue, Li Jinglong, Pang Dazhi
Division of Thoracic Surgery, Department of Surgery, The University of Hong Kong Shenzhen Hospital, Shenzhen, China.
J Cardiothorac Surg. 2016 Feb 11;11:27. doi: 10.1186/s13019-016-0425-z.
Pulmonary sequestration is an uncommon congenital condition for which surgical resection is usually indicated - either via open thoracotomy or conventional multi-port Video-Assisted Thoracoscopic Surgery (VATS). Of the two types of sequestration, intralobar sequestration is technically more challenging to resect.
We report the management of a 34 year old male patient with a long history of respiratory symptoms, and an extensively diseased right lower lobe. A diagnosis of sequestration was confirmed by CT scanning, showing three separate anomalous feeding vessels arising from the abdominal aorta. A right lower lobectomy using a Uniportal VATS approach was performed, and the patient discharged home on the fourth post-operative day.
This is the first report to our knowledge demonstrating the safety and feasibility of the Uniportal approach for the resection of a relatively challenging intralobar sequestration.
肺隔离症是一种罕见的先天性疾病，通常需要进行手术切除——可通过开胸手术或传统的多孔电视辅助胸腔镜手术（VATS）。在两种类型的隔离症中，叶内型隔离症在技术上切除难度更大。
我们报告了一名34岁男性患者的治疗情况，该患者有长期呼吸道症状病史，右下叶病变广泛。CT扫描确诊为隔离症，显示有三条独立的异常供血血管发自腹主动脉。采用单孔电视辅助胸腔镜手术方法进行了右下叶切除术，患者术后第四天出院。
据我们所知，这是第一份证明单孔手术方法切除相对具有挑战性的叶内型隔离症的安全性和可行性的报告。
