Huang Jin-Xi, Chen Qiang, Hong Song-Ming, Hong Jun-Jie, Cao Hua
Department of Cardiothoracic Surgery, Fujian Branch of Shanghai Children's Medical Center, Fuzhou, China.
Fujian Children's Hospital, Fuzhou, China.
Front Pediatr. 2021 Dec 17;9:798342. doi: 10.3389/fped.2021.798342. eCollection 2021.
The present study aimed to evaluate the safety and feasibility of uniportal video-assisted thoracoscopic surgery (U-VATS) for infants with pulmonary sequestration (PS). From January 2019 to July 2020, 19 infants with PS were admitted to a provincial hospital in the Fujian Province of China. A 1.5-cm utility port was created in the fifth intercostal space at the anterior axillary line. A rigid 30° 5-mm optic thoracoscope was used for vision, and two or three instruments were utilized through the port. Surgical options include standard lobectomy, wedge resection, and resection of the extralobar sequestration. Only one intercostal space was entered, and a chest tube was inserted through the same skin incision if necessary. The procedure was successful in all patients with an average operation duration of 58.3 ± 31.5 min. The length of post-operative hospital stay was 5.4 ± 1.5 days, and no post-operative deaths or serious complications were observed. The mean post-operative drainage volume was 164.6 ± 45.9 mL, and the mean post-operative thoracic tube indwelling duration was 5.5 ± 1.0 days. No intraoperative conversion, surgical mortality, or major complications were identified among the patients. Our preliminary experience presented a series of U-VATS lobectomy, wedge resection, and resection of the PS for infants with satisfactory perioperative results.
本研究旨在评估单孔电视辅助胸腔镜手术（U-VATS）治疗肺隔离症（PS）患儿的安全性和可行性。2019年1月至2020年7月，19例PS患儿入住中国福建省某省级医院。在腋前线第5肋间做一个1.5厘米的实用端口。使用硬镜30°5毫米胸腔镜进行观察，通过该端口使用两到三把器械。手术方式包括标准肺叶切除术、楔形切除术和肺外隔离症切除术。仅进入一个肋间间隙，必要时通过同一皮肤切口插入胸管。所有患者手术均成功，平均手术时间为58.3±31.5分钟。术后住院时间为5.4±1.5天，未观察到术后死亡或严重并发症。术后平均引流量为164.6±45.9毫升，术后胸管留置时间平均为5.5±1.0天。患者中未发现术中中转、手术死亡或重大并发症。我们的初步经验表明，一系列U-VATS肺叶切除术、楔形切除术及PS切除术治疗患儿，围手术期效果令人满意。
