Thi Chau P, Vinh Vu Huu, Nhat Lam X
Department of Thoracic Surgery, Cho Ray Hospital, Ho Chi Minh, VNM.
Cureus. 2024 Nov 5;16(11):e73036. doi: 10.7759/cureus.73036. eCollection 2024 Nov.
Endobronchial tumors, though relatively uncommon, present a diverse array of pathological conditions, including both benign and malignant neoplasms. This retrospective study focuses on the surgical management of seven such cases affecting the main or lobar bronchi. The study involves a diverse patient population, ranging in age from 18 to 65 years, with a median age of 26 years. The cases include both male and female individuals, indicating the presence of these tumors across various demographics. We carried out surgical interventions to remove the tumor while preserving the lung parenchyma. Surgical techniques included video-assisted thoracic surgery (VATS), lobectomy, and/or a combination of these methods. The choice of approach was guided by the tumor's location and nature. VATS, although widely performed, can sometimes pose challenges, leading to conversions to open thoracotomy in specific cases. All seven cases resulted in uneventful postoperative periods and excellent long-term outcomes, affirming the efficacy of the surgical procedures. Notably, despite variations in age and gender, the treatment approaches consistently yielded favorable long-term results. This study demonstrates the importance of personalized surgical strategies for endobronchial tumors while considering the nature and location of the tumor. VATS stands as a viable option, particularly in benign cases, provided careful case selection and the availability of skilled surgeons. These findings contribute to the growing body of evidence supporting the benefits of VATS in the management of endobronchial tumors.
支气管内肿瘤虽然相对少见,但呈现出多种病理状况,包括良性和恶性肿瘤。这项回顾性研究聚焦于7例累及主支气管或叶支气管的此类病例的外科治疗。该研究涉及不同的患者群体,年龄从18岁至65岁不等,中位年龄为26岁。病例包括男性和女性个体,表明这些肿瘤在不同人口统计学特征中均有存在。我们进行了手术干预以切除肿瘤同时保留肺实质。手术技术包括电视辅助胸腔镜手术(VATS)、肺叶切除术和/或这些方法的联合应用。手术方式的选择由肿瘤的位置和性质决定。VATS虽然广泛应用,但有时会带来挑战,导致在特定病例中转行开胸手术。所有7例患者术后恢复顺利,长期预后良好,证实了手术程序的有效性。值得注意的是,尽管年龄和性别存在差异,但治疗方法始终产生了良好的长期效果。本研究表明,在考虑肿瘤的性质和位置时,针对支气管内肿瘤采用个性化手术策略的重要性。VATS是一种可行的选择,特别是在良性病例中,前提是仔细选择病例并具备技术熟练的外科医生。这些发现为支持VATS在支气管内肿瘤管理中的益处的越来越多的证据做出了贡献。