单孔胸腔镜技术治疗婴幼儿叶外型肺隔离症

Single-port Video-assisted Thoracoscopic Surgery for Extralobar Sequestration in Infants

目的总结单孔胸腔镜技术治疗婴幼儿叶外型肺隔离症的经验。方法回顾性分析2020年8~12月单孔胸腔镜治疗叶外型肺隔离症9例的临床资料。年龄(7.1±3.4)月,体重(8.1±1.8)kg。经腋前线与腋中线之间第7或8肋间2~3 cm切口完成手术。结果均在单孔胸腔镜下完成手术,无中转开胸,手术时间(54.8±23.2)min,术中出血量<5 ml,均未放置胸腔引流管,住院6~7 d。无非计划二次手术,无围术期死亡及并发症发生。术后随访(3.1±1.8)月,恢复良好,无并发症。结论对婴幼儿叶外型肺隔离症,单孔胸腔镜技术可考虑作为一种较好的选择。

Objective To summarize the experience of single-port video-assisted thoracoscopic surgery(VATS)for extalobar sequestration in infants.Methods Clinical data of 9 infants with extalobar sequestration treated by single-port VATS from August to December 2020 were retrospectively analyzed.Their age was(7.1±3.4)months old,and the weight was(8.1±1.8)kg.Surgery was completed via the 7th or 8th intercostal 2-3 cm incision between the axillary frontline and the axillary midline.Results All the cases underwent resection by single-port VATS,without intraoperative conversion to thoracotomy.The operation time was(54.8±23.2)min,and the intraoperative blood loss was less than 5 ml.Thoracic drainage tubes were not placed in all the patients.The hospital stay was 6-7 d.No unplanned secondary surgery was required.There was no mortality or complication during the perioperative period.The follow-up was(3.1±1.8)months,during which all of the patients recovered well without complications.Conclusion Single-port VATS is a feasible option for the treatment of extalobar sequestration in infants.