Uniportal Thoracoscopic Resection of Intralobar Pulmonary Sequestration
Alan D. Sihoe, MBBChir, FRCSEd(CTh), FCCP, Qigang Luo, Jinglong Li, Dazhi Pang.
The University of Hong Kong Shenzhen Hospital, Shenzhen, China.
OBJECTIVE: Pulmonary sequestration is an uncommon congenital condition for which surgical resection is usually indicated - either via open thoracotomy or conventional multi-port Video-Assisted Thoracoscopic Surgery (VATS). Of the two types of sequestration, intralobar sequestration is technically more challenging to resect. The Uniportal approach is the latest, most minimally invasive technique for ultra-major thoracic surgery, but experience with its use in complex congenital pulmonary disease has thus far been limited.
METHODS: We report the first case to our knowledge in which a Uniportal VATS approach was used to perform a lobectomy for intralobar pulmonary sequestration.
RESULTS: The patient was a 34 year old adult male with a long history of symptoms, an extensively diseased right lower lobe, and three separate anomalous feeding vessels arising from the abdominal aorta. Uniportal right lower lobectomy was performed via only a 3.5cm incision. The patient recovered well, was fully mobile from the morning after surgery, and was discharged home on the fourth post-operative day.
CONCLUSIONS: This case demonstrates the safety and feasibility of the Uniportal approach even for the resection of a relatively challenging intralobar sequestration.
Our video shows all the key features of the operation, with clear demonstration of the steps involved.
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