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单孔电视辅助胸腔镜手术切除左上叶治疗先天性支气管闭锁:病例报告

[Resection of Left Upper Division by Uniportal Video-assisted Thoracoscopic Surgery for Congenital Bronchial Atresia:Report of a Case].

作者信息

Jinbo Mitsutaka, Goura Hidenori, Fujita Akihiro, Ohtsuka Ryo, Uesugi Naomasa, Kobayashi Toshiro, Saito Satoshi, Takahashi Tsuyoshi

机构信息

Department of Surgery, Saiseikai Yamaguchi General Hospital, Yamaguchi, Japan.

出版信息

Kyobu Geka. 2022 Feb;75(2):150-154.

Abstract

We report a case of congenital bronchial atresia resected by the uniportal thoracoscopic approach. A man in his 20s with congenital bronchial atresia diagnosed at 16 years of age visited our hospital with gradually worsening shortness of breath. Chest computed tomography revealed a localized emphysematous area that progressively increased in size, in the left upper lobe and the absence of a left upper division bronchus with mucoid impaction. Surgical treatment was deemed necessary in view of dyspnea and progressively worsening emphysema, and the resection of left upper division was performed by uniportal video-assisted thoracoscopic surgery.

摘要

我们报告了一例采用单孔胸腔镜手术方法切除先天性支气管闭锁的病例。一名20多岁的男性,16岁时被诊断为先天性支气管闭锁,因气短逐渐加重前来我院就诊。胸部计算机断层扫描显示左上叶有一个局限性肺气肿区域,其大小逐渐增大,且左上叶支气管缺如并伴有黏液嵌塞。鉴于呼吸困难和肺气肿逐渐加重,认为有必要进行手术治疗,遂通过单孔电视辅助胸腔镜手术对左上叶进行了切除。

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