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

Lin, Tao; Huang, Wei; Chang, Chih-Jen; Yen, Yi‐Ting; Lai, Wu‐Wei; Tseng, Yau‐Lin; Chen, Ying-Yuan

doi:10.21037/jtd.2018.05.151

Cited by 17 publications

(20 citation statements)

References 24 publications

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“…In our institute, we have quite a lot of UVATS experience, in addition to conventional lobectomy and segmentectomy, and many complex operations, such as bronchus sleeve lobectomy, double sleeve lobectomy, and trachea resection can be performed, which have overcome some limitations of the UVATS itself. However, to our knowledge, only few previous studies of UVATS in the treatment of PS were published [16][17][18][19]29]. The first challenging step is to separate the presence of extensive adhesions.…”

Section: Resultsmentioning

confidence: 99%

Feasibility investigation of uniportal video-assisted thoracoscopic anatomical lung resection for pulmonary sequestration

Sun

Shao

Zhang

et al. 2020

Preprint

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Background Uniportal video-assisted thoracic surgery (UVATS) technique has been increasingly used for many thoracic diseases. Whether UVATS has equivalent or better perioperative outcomes for pulmonary sequestration (PS) patients remains controversial. Our study aimed to evaluate the feasibility of UVATS in anatomical lung resection for pulmonary sequestration. Methods A total of 24 patients with PS including fifteen males and nine females with the mean age of 40 (rang, 18-65) years old, who had received completely UVATS anatomical lung resection for PS in Nanjing Chest Hospital between January 2016 and December 2018 were retrospectively reviewed. Related clinical data were retrieved from hospital records and analyzed. Results All 24 patients had been treated with the UAVTS approach successfully without aberrant artery ruptured or massive hemorrhage, and no patients died during the perioperative period. Overall median surgery time was 102 mins (range, 55-150mins), the mean blood loss was 94 ml (range, 10-300ml), the mean days of chest tube maintained were 4 days (range,1-10days), and the mean postoperative hospitalization days was 6 days (range,2-11days). All patients were cured, without cough, fever, hemoptysis, and so on, associated with PS, occurring during the average follow-up of 17 months (range, 3-35months). Conclusions Our preliminary results revealed that anatomical lung resection by UVATS is a safe and feasible mini-invasive technique for PS patients, which might be associated with less postoperative pain, reduced paresthesia, better cosmetic results, and faster recovery.

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Section: Resultsmentioning

confidence: 99%

Feasibility investigation of uniportal video-assisted thoracoscopic anatomical lung resection for pulmonary sequestration

Sun

Shao

Zhang

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Feasibility investigation of uniportal video-assisted thoracoscopic anatomical lung resection for pulmonary sequestration

Sun

Zhang

Wang

2020

J Cardiothorac Surg

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Background: Uniportal video-assisted thoracic surgery (UVATS) technique has been increasingly used for many thoracic diseases. Whether UVATS has equivalent or better perioperative outcomes for pulmonary sequestration (PS) patients remains controversial. Our study aimed to evaluate the feasibility of UVATS in anatomical lung resection for pulmonary sequestration. Methods: A total of 24 patients with PS including fifteen males and nine females with the mean age of 40 (range, 18-65) years old, who had received completely UVATS anatomical lung resection for PS in Nanjing Chest Hospital between January 2016 and December 2018 were retrospectively reviewed. Related clinical data were retrieved from hospital records and analyzed. Results: All 24 patients had been treated with the UAVTS approach successfully without aberrant artery ruptured or massive hemorrhage, and no patients died during the perioperative period. Overall mean surgery time was 102 mins (range, 55-150 min), the mean blood loss was 94 ml (range, 10-300 ml), the mean days of chest tube maintained were 4 days (range,1-10 days), and the mean postoperative hospitalization days was 6 days (range,2-11 days). All patients were cured, without cough, fever, hemoptysis, and so on, associated with PS, occurring during the average follow-up of 17 months (range, 3-35 months). Conclusions: Our preliminary results revealed that anatomical lung resection by UVATS is a safe and feasible miniinvasive technique for PS patients, which might be associated with less postoperative pain, reduced paresthesia, better cosmetic results, and faster recovery.

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“…There are two main differences compared with the previously described VATS. 4,5 The first difference is that our surgical priority is not to isolate of the aberrant vessels, but to remove the lung lobe as normal. The second but most important difference is that resection of the inferior pulmonary ligament, including the aberrant arteries, is performed using a stapler.…”

Section: Discussionmentioning

confidence: 99%

A Modified VATS Procedure for Treating Adult Intralobar Pulmonary Sequestration

Zeng

Zou

Yang

et al. 2020

Thorac Cardiovasc Surg

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Video-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.

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

Cited by 17 publications

References 24 publications

Feasibility investigation of uniportal video-assisted thoracoscopic anatomical lung resection for pulmonary sequestration

Feasibility investigation of uniportal video-assisted thoracoscopic anatomical lung resection for pulmonary sequestration

Feasibility investigation of uniportal video-assisted thoracoscopic anatomical lung resection for pulmonary sequestration

A Modified VATS Procedure for Treating Adult Intralobar Pulmonary Sequestration

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