A Modified VATS Procedure for Treating Adult Intralobar Pulmonary Sequestration

2020 ◽  
Author(s):  
Bo Zeng ◽  
Jianyong Zou ◽  
Weixiong Yang ◽  
Zhenguo Liu ◽  
Chunying Xie ◽  
...  
Keyword(s):  
Open Surgery ◽  
Thoracoscopic Surgery ◽  
Pulmonary Sequestration ◽  
Risk Of Bleeding ◽  
Massive Blood Loss ◽  
Intralobar Sequestration ◽  
Intralobar Pulmonary Sequestration ◽  
Conventional Open Surgery ◽  
Aberrant Vessels ◽  
Video Assisted Thoracoscopic Surgery

AbstractVideo-assisted thoracoscopic surgery (VATS) makes it possible to treat intralobar sequestration (ILS) more minimally invasive compared with conventional open surgery. However, this procedure is challenging to expose and isolate the aberrant arteries of ILS and the risk of bleeding is high. Herein, we developed a modified VATS procedure in which the aberrant vessels are treated in the last step of lobectomy, rather than at the beginning. In this way, we can expose the aberrant vessels easier and reduce the risk of massive blood loss, also simplifying the surgical procedure.

Video-assisted thoracoscopic surgery for intralobar pulmonary sequestration

Surgery ◽  
2003 ◽  
Vol 133 (2) ◽  
pp. 216-218 ◽  
Author(s):  
Toshiki Tanaka ◽  
Kazuhiro Ueda ◽  
Hisashi Sakano ◽  
Masatarou Hayashi ◽  
Tao-Sheng Li ◽  
...  
Keyword(s):  
Thoracoscopic Surgery ◽  
Pulmonary Sequestration ◽  
Video Assisted ◽  
Intralobar Pulmonary Sequestration ◽  
Video Assisted Thoracoscopic Surgery

scholarly journals Video-assisted thoracoscopic surgery: The preferred method to manage pulmonary sequestration

2021 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
Arvind Kumar ◽  
Sukhram Bishnoi ◽  
HarshVardhan Puri ◽  
BelalBin Asaf ◽  
MohanVenkatesh Pulle ◽  
...  
Keyword(s):  
Thoracoscopic Surgery ◽  
Pulmonary Sequestration ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic Surgery

scholarly journals Surgical strategy for pulmonary sequestration: Focus on precautions for aberrant vessels under minimally invasive surgery

2021 ◽  
pp. 201010582110585
Author(s):  
Tomoki Nakagawa ◽  
Atsushi Wada ◽  
Naohiro Aruga ◽  
Hajime Watanabe ◽  
Ryota Masuda ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
Thoracoscopic Surgery ◽  
Lower Lobe ◽  
Preoperative Assessment ◽  
Pulmonary Sequestration ◽  
Anatomical Variations ◽  
Multidetector Row Computed Tomography ◽  
Major Hemorrhage ◽  
Aberrant Artery ◽  
Aberrant Vessels

Background Recently, thoracoscopic resection of pulmonary sequestration has become more common, since resection of an aberrant artery using an end-stapler is a safe maneuver in many cases. However, injury of the vessels can lead to major hemorrhage. We reported our surgical experience based on thoracoscopic surgery, with five cases of interlobar pulmonary sequestration, focusing on precautions for aberrant arterial vessels. Object and methods We performed pulmonary resections for five patients with interlobar pulmonary sequestration in a lower lobe (left, n = 4; right, n = 1) between April 2004 and May 2020. All aberrant vessels were derived from the lower thoracic artery. Two patients had a single aberrant artery and three had multiple. In four patients, these vessels were detected before surgery, and pulmonary sequestration was diagnosed in four. In one elderly patient, the aberrant vessel was overlooked, and lung cancer was suspected before surgery. Angiography or multidetector-row computed tomography was subsequently performed in four cases. The surgical plan was determined according to the location and size of the pulmonary lesion and three-dimensional images of aberrant vessels. Result In all patients, approaches were made thoracoscopically. Hemorrhage from an anomalous vessel was encountered in one case. Pulmonary resections included two lobectomies and three limited resections. Angioplasty for the root of anomalous branches was performed following pulmonary resections under converted minimal lateral thoracotomy in two cases. Conclusion Preoperative assessment of the anatomical variations in abnormal vessels is essential to achieve safe surgical procedures. According to the situation of the aberrant vessels, selecting surgical procedures with consideration of potential subsequent complications arising over a long period of time is important.

scholarly journals Uniportal video-assisted thoracoscopic surgery lobectomy and segmentectomy for pulmonary sequestration

2018 ◽  
Vol 10 (6) ◽  
pp. 3722-3728 ◽  
Author(s):  
Tzu-Hung Lin ◽  
Wei-Li Huang ◽  
Chao-Chun Chang ◽  
Yi-Ting Yen ◽  
Wu-Wei Lai ◽  
...  
Keyword(s):  
Thoracoscopic Surgery ◽  
Pulmonary Sequestration ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic Surgery

scholarly journals Effect of different therapeutic strategies on the clinical outcome of asymptomatic intralobar pulmonary sequestration

2019 ◽  
Vol 29 (5) ◽  
pp. 706-713 ◽  
Author(s):  
Xiao-Kun Li ◽  
Jing Luo ◽  
Wen-Jie Wu ◽  
Zhuang-Zhuang Cong ◽  
Yang Xu ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Hospital Stay ◽  
Pulmonary Sequestration ◽  
Therapeutic Strategies ◽  
Postoperative Hospital Stay ◽  
Intralobar Sequestration ◽  
Estimated Blood Loss ◽  
Intralobar Pulmonary Sequestration ◽  
Group 2 ◽  
Group 1

Abstract OBJECTIVES Pulmonary sequestration is a rare congenital pulmonary malformation. The aim of this study was to explore the effect of different therapeutic strategies on the clinical outcome of asymptomatic intralobar pulmonary sequestration. METHODS We retrospectively reviewed the clinical data of 37 patients diagnosed with intralobar sequestration. All the patients were asymptomatic. Seventeen patients underwent video-assisted thoracoscopic surgery (VATS) once diagnosed and 20 patients chose to undergo observation. Of these 20 patients, 16 patients developed symptoms during the observation period and also underwent VATS; 4 patients never showed symptoms and did not have surgery. The 33 patients who had VATS were divided into 2 groups: group 1, patients who underwent VATS once diagnosed; group 2, patients who underwent VATS once symptoms appeared. Postoperative data and respiratory function data were compared between the 2 groups. RESULTS Twenty of the patients were men and 17 were women (mean age 37.05 ± 7.89 years). Results of a comparative analysis of the 2 groups indicated that patients in group 1 had better values for median estimated blood loss, median duration of chest tube insertion, postoperative hospital stay and postoperative hospital stay than those in group 2. Postoperative complications were reported in 1 patient in group 1 and in 3 patients in group 2. Meanwhile, the loss of lung function between group 1 and group 2 was statistically significant, which also suggested that patients benefited from surgery once diagnosed. CONCLUSIONS For asymptomatic intralobar sequestration, VATS could be effective and safe. The surgical intervention should be performed once the condition is diagnosed to avoid manifestations occurring and to preserve patients’ quality of life.

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