胸腔镜手术切除治疗自发性气胸
Thoracoscopic Resection in the Treatment of Spontaneous Pneumothorax.
作者信息
Demir Mesut, Akın Melih, Kaba Meltem, Filiz Şeyma, Sever Nihat, Karadağ Çetin Ali, Dokucu Ali İhsan
机构信息
Department of Pediatric Surgery, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
出版信息
Sisli Etfal Hastan Tip Bul. 2020 Mar 25;54(1):94-97. doi: 10.14744/SEMB.2018.88310. eCollection 2020.
OBJECTIVES
We retrospectively evaluated the patients with primer spontaneous pneumothorax (PSP) who were treated with thoracoscopic resection.
METHODS
We retrospectively collected the data of the patients with a spontaneous pneumothorax who were operated with video-assisted thoracoscopic surgery (VATS) between 2010 and 2016.
RESULTS
During the study period, 10 patients applied to our hospital with spontaneous pneumothorax. Five children (three boys, two girls) with a mean age of 16.6 (16-17) were selected with VATS. Three of the patients had bleb, one of the patients had Congenital Cystic Adenomatoid Malformation (CCAM) type 2, and the last one had chronic emphysematous tissue on pathological analyses. Post-operative follow-up time was 2.2 (1-4) years without any complication.
CONCLUSION
Spontaneous pneumothorax is a disease especially seen in puberty. The main reasons are apical segment bullae formation and blebs. VATS is especially advantageous to reach apical segments and for easy resections. Blebs, CCAM and emphysematous lung tissue may cause spontaneous pneumothorax.
目的
我们回顾性评估了接受胸腔镜切除术治疗的原发性自发性气胸（PSP）患者。
方法
我们回顾性收集了2010年至2016年间接受电视辅助胸腔镜手术（VATS）治疗的自发性气胸患者的数据。
结果
在研究期间，10例自发性气胸患者到我院就诊。选择了5名儿童（3名男孩，2名女孩），平均年龄为16.6岁（16 - 17岁），接受了VATS手术。病理分析显示，其中3例患者有肺大疱，1例患者有2型先天性囊性腺瘤样畸形（CCAM），最后1例有慢性肺气肿组织。术后随访时间为2.2年（1 - 4年），无任何并发症。
结论
自发性气胸是一种多见于青春期的疾病。主要原因是肺尖段肺大疱形成和肺小疱。VATS在到达肺尖段及便于切除方面特别有优势。肺小疱、CCAM和肺气肿肺组织可能导致自发性气胸。
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