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单孔电视辅助胸腔镜手术治疗支气管囊肿:东加里曼丹的经验:一例报告

Uniportal vats approach to bronchogenic cyst, East Borneo experience: A case report.

作者信息

Joalsen Ivan, Caesario Michael, Sahniar Novita, Boenjamin Abdul Azis

机构信息

Division of Thoracic, Cardiac, and Vascular Surgery, Universitas Mulawarman/Abdul Wahab Sjahranie Hospital, Samarinda, East Borneo, Indonesia.

Division of Thoracic, Cardiac, and Vascular Surgery, Universitas Mulawarman/Abdul Wahab Sjahranie Hospital, Samarinda, East Borneo, Indonesia.

出版信息

Int J Surg Case Rep. 2023 Aug;109:108527. doi: 10.1016/j.ijscr.2023.108527. Epub 2023 Jul 22.

Abstract

INTRODUCTION

Abnormalities in the development of the ventral foregut may result in bronchogenic cysts. Depending on the extent of aberrant budding, the location of a bronchogenic cyst might vary. The location and, more crucially, the size of the mass determine the onset of symptoms in individuals with bronchogenic cysts. Mediastinal bronchogenic cysts are mostly asymptomatic mediastinal masses discovered incidentally in adults. With the recent advancements in thoracoscopy, the removal can now be performed without the need for thoracotomies.

CASE PRESENTATION

We reported the case of incidental findings of an asymptomatic mediastinal bronchogenic cyst and opted for single-incision video-assisted thoracic surgery. The patient required no postoperative intensive care and discharged on third day after surgery with no complications.

DISCUSSION

Single-incision video-assisted thoracic surgery, also known as uniportal VATS, has swept the field of thoracic surgery in recent years, allowing us to execute challenging surgeries with a small single incision, avoiding the inherent morbidity of the standard open thoracotomy. We were able to remove mediastinal bronchogenic cysts using uniportal VATS completely. This method eliminates the need for post-operative critical care, reducing scarring and shortening hospital stays.

CONCLUSION

Bronchogenic cysts are uncommon mediastinal masses necessary for surgical therapy when discovered. The advancement of minimally invasive techniques offers surgeons safe new alternatives.

摘要

引言

腹侧前肠发育异常可能导致支气管囊肿。根据异常芽生的程度,支气管囊肿的位置可能会有所不同。支气管囊肿患者的症状出现取决于肿块的位置,更关键的是其大小。纵隔支气管囊肿大多是成人偶然发现的无症状纵隔肿块。随着胸腔镜技术的最新进展,现在无需开胸即可进行切除。

病例报告

我们报告了一例偶然发现的无症状纵隔支气管囊肿病例,并选择了单孔电视辅助胸腔手术。患者术后无需重症监护,术后第三天出院,无并发症。

讨论

单孔电视辅助胸腔手术,也称为单孔胸腔镜手术,近年来席卷了胸外科领域,使我们能够通过一个小的单切口进行具有挑战性的手术,避免了标准开胸手术固有的发病率。我们能够使用单孔胸腔镜手术完全切除纵隔支气管囊肿。这种方法无需术后重症监护,减少了疤痕形成并缩短了住院时间。

结论

支气管囊肿是罕见的纵隔肿块,一旦发现需要手术治疗。微创技术的进步为外科医生提供了安全的新选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f87/10407889/522765b09c93/gr1.jpg

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