Yano Keisuke, Nishida Nanako, Kedoin Chihiro, Tabata Yumiko, Iwamoto Yumiko, Ogata Masato, Takada Lynne, Nagano Ayaka, Tsuruno Yudai, Murakami Masakazu, Sugita Koshiro, Onishi Shun, Harumatsu Toshio, Kawano Takafumi, Muto Mitsuru, Kaji Tatsuru, Ieiri Satoshi
Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan.
Department of Pediatric Surgery, Kurume University School of Medicine, Kurume, Japan.
Asian J Endosc Surg. 2025 Jan-Dec;18(1):e70005. doi: 10.1111/ases.70005.
Many institutions perform thoracoscopic surgery for pediatric extrapulmonary sequestration (EPS). This approach achieves good cosmetic outcomes due to the small skin incision in comparison to open surgery. However, an extension or additional incision is sometimes necessary to extract resected specimens from the thoracic cavity, which reduces the advantages of this procedure. We herein report 5 cases of two-site thoracoscopic surgery (TTS) using an extraction wound with left-sided EPS. In this procedure, a camera port was inserted inside the skin incision at the sixth intercostal space of the middle axillary line using optical methods, and the operator's left-hand port was inserted inside the same skin incision. The EPS was resected and extracted through a skin incision without extension or additional incision. A surgeon-in-training performed the procedure in 4 of the 5 cases. The postoperative course was uneventful in all cases. The patients showed quick recovery and good cosmetic outcomes. TTS is a cosmetically favorable approach for EPS.
许多机构都开展小儿肺外隔离症（EPS）的胸腔镜手术。与开放手术相比，这种方法因皮肤切口小而能获得良好的美容效果。然而，有时需要延长切口或增加切口以便从胸腔取出切除标本，这就降低了该手术的优势。我们在此报告5例采用左侧EPS提取伤口的两点式胸腔镜手术（TTS）。在此手术中，使用光学方法在腋中线第6肋间的皮肤切口内插入摄像孔，术者左手操作孔也插入同一皮肤切口内。通过该皮肤切口切除并取出EPS，无需延长或增加切口。5例中有4例由实习医生实施该手术。所有病例术后病程均顺利。患者恢复快，美容效果良好。TTS是一种对EPS美容效果良好的手术方法。
