全胸腔镜下手术治疗小儿肺隔离症的疗效与安全性分析
武玉睿,张士松,刘红真,翟允鹏,赵华善,孔 萌,李 晓,许洪修,刘 威,葛俊杰

山东大学齐鲁儿童医院胸外肿瘤外科(微创外科)(山东省济南市,250022),Email:wuyrr@163.com

胸腔镜; 支气管肺隔离症; 肺叶切除术; 治疗结果; 儿童

Experiences of complete thoracoscopy for pulmonary sequestration.
Wu Yurui,Zhang Shisong,Liu Hongzhen,Zhai Yunpeng,Zhao Huashan,Kong Meng,Li Xiao,Xu Hongxiu,Liu Wei,Ge Junjie.

Qilu Children's Hospital,Shandong University,Jinan 250000,China

Thoracscopes; Bronchopulmonary Sequestration; Lobectomy; Treatment Outcome; Child

DOI: 10.3969/j.issn.1671— 6353.2018.05.004

备注

目的 探讨全胸腔镜下手术治疗小儿肺隔离症的临床疗效与安全性。方法 回顾性分析本院2014年2月至2017年8月实施的33例全胸腔镜下肺隔离症手术患儿临床资料,其中男22例,女11例; 年龄2个月至12岁1个月。患儿均经术前胸部CT增强明确诊断,手术采取三孔法,根据病变情况选择肺叶切除或不规则切除。结果 33例患儿均在全胸腔镜下顺利完成手术,无一例中转开胸手术,19例行肺叶切除术,6例行不规则肺切除术,1例行肺段切除术,7例行叶外型肺隔离症切除术。结论 全胸腔镜手术治疗小儿肺隔离症安全、有效,提高手术技巧可减少术中出血,提高手术的安全性。
Objective To explore the safety and efficacy of completely thoracoscopic treatment of pulmonary sequestration(PS)in children. Methods Retrospective analysis was performed for 33 PS cases undergoing complete thoracoscopy from February 2014 to August 2017.There were 22 boys and 21 girls with an age range of 2 to 145 months.A definite diagnosis of PS was made by preoperative computed tomography angiography(CTA).Three-hole surgical route and operative lobectomy or irregular resection were performed. Results Thirty-three patients successfully underwent thoracoscopy without open thoracotomy.The procedures included lobectomy(n=19),irregular resection(n=6),segmentectomy(n=1)and extralobar resection(n=7). Conclusion Thoracoscopic treatment of pediatric pulmonary sequestration is both safe and efficacious.It may reduce intraoperative bleeding and improve surgical safety.