Kim Chang Wan, Kim Do Hyung
Departments of Thoracic and Cardiovascular Surgery, Pusan National, University Yangsan Hospital, Mulgeum-eup, Yangsan-si, Gyeonagnam 626-770, South Korea.
J Thorac Dis. 2016 Jan;8(1):E148-51. doi: 10.3978/j.issn.2072-1439.2016.01.36.
Single-incision thoracoscopic surgery (SITS) is not yet widely used for treating pulmonary sequestration due to the difficulty of manipulating an aberrant systemic artery or working around inflamed tissue. It is also difficult to control massive bleeding if the aberrant artery ruptures during excision. We modified the SITS lobectomy technique so that it was suitable for treating pulmonary sequestration. We changed the order of excision of anatomical structures and introduced two-stage stapling of the aberrant artery for easy, safe stapling in SITS lobectomy. Single-port VATS is an acceptable method for major pulmonary resection for the treatment of intrapulmonary sequestration.
单孔胸腔镜手术（SITS）由于在处理异常体动脉或在炎症组织周围操作存在困难，尚未广泛用于治疗肺隔离症。如果在切除过程中异常动脉破裂，控制大出血也很困难。我们对SITS肺叶切除术技术进行了改良，使其适用于治疗肺隔离症。我们改变了解剖结构的切除顺序，并引入了异常动脉的两阶段缝合技术，以便在SITS肺叶切除术中轻松、安全地进行缝合。单孔电视辅助胸腔镜手术是治疗肺内隔离症进行主要肺切除的一种可接受的方法。
