Department of Thoracic Surgery, Barts Thorax Centre, St Bartholomew's Hospital, London, England, EC1A 7BE.
Multimed Man Cardiothorac Surg. 2021 Sep 22;2021. doi: 10.1510/mmcts.2021.046.
We present a modified bronchoplasty technique involving rotation of the bronchial structures. Our goal was to reconstruct the bronchus without using any foreign material while fully preserving the parenchyma. We used a biportal VATS approach. The centrally located bronchial tumor at the juncture between the right main bronchus, the right upper lobe bronchus, and the bronchus intermedius was first resected. The right upper lobe bronchus was rotated caudally, toward the bronchus intermedius, together with a slight clockwise rotation posteriorly to facilitate the approximation and tension-free closure of the bronchial defect. This video tutorial demonstrates the operative steps and explains how the rotational aspect is achieved.
我们提出了一种改良的支气管成形术，涉及支气管结构的旋转。我们的目标是在不使用任何外来材料的情况下重建支气管，同时充分保留肺实质。我们使用了双端口 VATS 方法。首先切除位于右主支气管、右上叶支气管和中间支气管交界处的中央支气管肿瘤。右上叶支气管向后下方旋转，向中间支气管靠拢，并进行轻微的顺时针向后旋转，以方便支气管缺损的接近和无张力闭合。本视频教程演示了手术步骤，并解释了如何实现旋转。
