Department of Thoracic Surgery, The Third Affiliated Hospital of Chongqing Medical University, Chongqing, 401120, China.
J Cardiothorac Surg. 2021 May 13;16(1):129. doi: 10.1186/s13019-021-01507-w.
Our goal was to discuss the treatment for rupture of contralateral mainstem bronchus during uniportal video-assisted thoracoscopy surgery (uniportal VATS) lobectomy.
We analyzed clinical data of 3 cases of rupture of contralateral mainstem bronchus during uniportal VATS. Surgical repair was performed immediately under an uniportal VATS during operation, as a result, 3 cases of bronchial rupture all were repaired successfully, and we continued to complete lobectomy and systemic lymph node dissection. Reexamination was performed after 1 week, and no fistula was found in trachea and bronchi through a fiberoptic bronchoscopy. The time range for indwelling the chest tube is 6-9 days, and the hospital stay is 8-10 days. No abnormality was observed on chest radiography when the 3 patients returned to the hospital 1 month after the operation for the second reexamination.
Instant surgical repair is recommended to the treatment of bronchial rupture in thoracic surgery. It is safe and feasible to repair bronchial tear with uniportal VATS.
我们的目标是讨论单孔电视辅助胸腔镜手术（uniportal VATS）肺叶切除术中对侧主支气管破裂的治疗方法。
我们分析了 3 例单孔 VATS 中发生对侧主支气管破裂的临床资料。术中立即在单孔 VATS 下进行手术修复，3 例支气管破裂均成功修复，我们继续完成肺叶切除和全身淋巴结清扫。术后 1 周复查，纤维支气管镜检查未见气管和支气管瘘。胸腔引流管留置时间为 6-9 天，住院时间为 8-10 天。术后 1 个月，3 例患者回院进行第二次复查时，胸部 X 线未见异常。
对于胸外科的支气管破裂，建议即时手术修复。单孔 VATS 修复支气管撕裂是安全可行的。
