单孔电视辅助胸腔镜手术治疗闭锁肺综合征中的肺大疱切除术——巨大肺大疱怎么办？

Uniportal video-assisted thoracic surgery bullectomy in vanishing lung syndrome - What about giant bullae?

作者信息

Lopes Sara, Maciel João, Pinho Paulo

机构信息

Department of Cardiothoracic Surgery, São João Hospital, Porto, Portugal.

出版信息

Cir Cir. 2020;88(Suppl 1):68-70. doi: 10.24875/CIRU.20001515.

DOI:10.24875/CIRU.20001515

PMID:32963391

Abstract

A 36-year-old-woman, smoker, without other relevant medical history, presented with symptoms of dyspnea, right localized chest pain, and non-productive cough. On the emergency department, the chest X-ray was interpreted as a giant right pneumothorax and a chest drain was inserted. Thoracic computed tomography demonstrated a giant emphysematous bulla with 23 cm on her right upper lobe. We report the first uniportal video-assisted thoracic surgery bullectomy for a bulla greater than 20 cm, in a patient with vanishing lung syndrome.

摘要

一名36岁女性，有吸烟史，无其他相关病史，出现呼吸困难、右侧局限性胸痛和干咳症状。在急诊科，胸部X线检查显示为巨大右侧气胸，并插入了胸腔引流管。胸部计算机断层扫描显示右上叶有一个直径23厘米的巨大气肿性肺大疱。我们报告了首例为一名患有肺消失综合征的患者进行的单孔电视辅助胸腔镜手术肺大疱切除术，该肺大疱直径大于20厘米。