Thoracoscopic lobectomy for prenatally diagnosed lung lesions
Thoracoscopic lobectomy for prenatally diagnosed lung lesions
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DOI：
10.1053/jpsu.2003.50120
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发表时间：
2003-04-01
影响因子：
2.4
通讯作者：
Lee, HM
中科院分区：
文献类型：
--
作者：
Albanese, CT;Sydorak, RM;Lee, HM
目的：本报告的目的是评估胸腔镜肺叶切除术治疗无症状产前诊断肺部病变的技术和结果。方法：从1999年6月至2002年3月，连续14例产前诊断为先天性囊性腺瘤样畸形或肺隔离症的无症状患者，年龄3至15个月，接受了产后胸腔镜肺叶切除术。全部采用单肺通气和低压（4托）低流量（1.0升/分钟）控制气胸。随访时间为 4 至 35 个月。结果：使用 3 个端口成功完成所有手术。不是使用缝合装置或夹子，而是使用 Ligasure 热能装置密封肺血管并完成裂隙（必要时）。 11 个病变位于左侧（10 个下叶），3 个位于右下叶。平均运行时间为 110 分钟。平均住院时间为 38 小时。无术中及术后并发症。结论：这是首例完全胸腔镜技术用于小儿肺叶切除术的报道。胸腔镜肺叶切除术是一种相对快速、安全的手术，且美容效果极佳。早期切除可以避免这些病变的感染风险。版权所有2003，Elsevier Science（美国）。版权所有。
Purpose: The aim of this report is to assess the technique and outcome of thoracoscopic lobectomy for asymptomatic prenatally diagnosed lung lesions.Methods: From June 1999 to March 2002, 14 consecutive asymptomatic patients with a prenatal diagnosis of congenital cystic adenomatoid malformation or pulmonary sequestration, ages 3 to 15 months, underwent postnatal thoracoscopic lobectomy. Single-lung ventilation and controlled pneumothorax with low pressure (4 torr) and low flow (1.0 L/min) were used in all. Follow-up ranged from 4 to 35 months.Results: All procedures were completed successfully using 3 ports. Rather than using stapling devices or clips, pulmonary vessels were sealed and the fissure completed (when necessary) with the Ligasure thermal energy device. Eleven lesions were on the left (10 lower lobe), and 3 were in the right lower lobe. The mean operating time was 110 minutes. The average hospital stay was 38 hours. There were no intraoperative or postoperative complications.Conclusions: This is the first report of a completely thoracoscopic technique for pulmonary lobectomy in small children. Thoracoscopic lobectomy is a relatively quick and safe procedure, and the cosmetic result is excellent. Early resection obviates the risk of infection in these lesions. Copyright 2003, Elsevier Science (USA). All rights reserved.