Miao Yuan MD, Chang Xu MD, Dengke Luo MD, Kaisheng Cheng MD, Gang Yang MD, Taozhen He MD
{"title":"一种治疗先天性肺部畸形的新手术方法的初步研究","authors":"Miao Yuan MD, Chang Xu MD, Dengke Luo MD, Kaisheng Cheng MD, Gang Yang MD, Taozhen He MD","doi":"10.1053/j.semtcvs.2022.06.017","DOIUrl":null,"url":null,"abstract":"<div><p><span><span>Thoracoscopic surgery for congenital lung malformations<span> (CLMs) has been widely used. However, there are still many shortcomings in the current surgical methods, such as the removal of some normal lung tissue and residual lesions. Thoracoscopic anatomical lesion resection (TALR) may be an effective and safe method to resolve these problems. This retrospective study was conducted to estimate the safety and efficiency of TALR. A retrospective review of clinical data involving patients who underwent TALR in our hospital from October 2019 to January 2021 was performed. Clinical data, including patients’ demographic characteristics, manipulative details, and </span></span>postoperative complications<span><span><span>, were extracted and analyzed. A total of 95 cases were included in this study. All cases were operated on under thoracoscope, with no </span>conversion to open surgery. The average operation time was 63.2 ± 15.2 min (range 36−142 min). The average bleeding volume during the operation was 5.8 ± 2.1 mL (range 2−10 mL). The mean diameter of the lesion was 4.4 ± 1.9 cm (range 3−7 cm). All cases had no complications, such as bronchopleurothelial </span>fistula, hemorrhage, </span></span>atelectasis<span><span>, or pulmonary infection. Two patients developed pneumothorax<span> 1 month after the operation and were cured by closed thoracic drainage<span>. One month after the operation, chest CT showed regular cysts in 2 cases. The other patients were followed up for over 1 year by chest CT after the operation, and all recovered well without residual lesions or recurrence. Combined with the preoperative thin slice CT and intraoperative lesion boundary, anatomical intrapulmonary dissociation based on the </span></span></span>pulmonary vein<span> system, TALR, as a lung-sparing surgery of completely removing the lesion and retaining all normal lung tissue, has high safety and effectiveness in the treatment of CLMs.</span></span></p></div>","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":2.6000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"3","resultStr":"{\"title\":\"A Novel Surgical Method for Congenital Lung Malformations: A Pilot Study\",\"authors\":\"Miao Yuan MD, Chang Xu MD, Dengke Luo MD, Kaisheng Cheng MD, Gang Yang MD, Taozhen He MD\",\"doi\":\"10.1053/j.semtcvs.2022.06.017\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p><span><span>Thoracoscopic surgery for congenital lung malformations<span> (CLMs) has been widely used. However, there are still many shortcomings in the current surgical methods, such as the removal of some normal lung tissue and residual lesions. Thoracoscopic anatomical lesion resection (TALR) may be an effective and safe method to resolve these problems. This retrospective study was conducted to estimate the safety and efficiency of TALR. A retrospective review of clinical data involving patients who underwent TALR in our hospital from October 2019 to January 2021 was performed. Clinical data, including patients’ demographic characteristics, manipulative details, and </span></span>postoperative complications<span><span><span>, were extracted and analyzed. A total of 95 cases were included in this study. All cases were operated on under thoracoscope, with no </span>conversion to open surgery. The average operation time was 63.2 ± 15.2 min (range 36−142 min). The average bleeding volume during the operation was 5.8 ± 2.1 mL (range 2−10 mL). The mean diameter of the lesion was 4.4 ± 1.9 cm (range 3−7 cm). All cases had no complications, such as bronchopleurothelial </span>fistula, hemorrhage, </span></span>atelectasis<span><span>, or pulmonary infection. Two patients developed pneumothorax<span> 1 month after the operation and were cured by closed thoracic drainage<span>. One month after the operation, chest CT showed regular cysts in 2 cases. The other patients were followed up for over 1 year by chest CT after the operation, and all recovered well without residual lesions or recurrence. Combined with the preoperative thin slice CT and intraoperative lesion boundary, anatomical intrapulmonary dissociation based on the </span></span></span>pulmonary vein<span> system, TALR, as a lung-sparing surgery of completely removing the lesion and retaining all normal lung tissue, has high safety and effectiveness in the treatment of CLMs.</span></span></p></div>\",\"PeriodicalId\":48592,\"journal\":{\"name\":\"Seminars in Thoracic and Cardiovascular Surgery\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2023-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"3\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Seminars in Thoracic and Cardiovascular Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1043067922001496\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Seminars in Thoracic and Cardiovascular Surgery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1043067922001496","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
A Novel Surgical Method for Congenital Lung Malformations: A Pilot Study
Thoracoscopic surgery for congenital lung malformations (CLMs) has been widely used. However, there are still many shortcomings in the current surgical methods, such as the removal of some normal lung tissue and residual lesions. Thoracoscopic anatomical lesion resection (TALR) may be an effective and safe method to resolve these problems. This retrospective study was conducted to estimate the safety and efficiency of TALR. A retrospective review of clinical data involving patients who underwent TALR in our hospital from October 2019 to January 2021 was performed. Clinical data, including patients’ demographic characteristics, manipulative details, and postoperative complications, were extracted and analyzed. A total of 95 cases were included in this study. All cases were operated on under thoracoscope, with no conversion to open surgery. The average operation time was 63.2 ± 15.2 min (range 36−142 min). The average bleeding volume during the operation was 5.8 ± 2.1 mL (range 2−10 mL). The mean diameter of the lesion was 4.4 ± 1.9 cm (range 3−7 cm). All cases had no complications, such as bronchopleurothelial fistula, hemorrhage, atelectasis, or pulmonary infection. Two patients developed pneumothorax 1 month after the operation and were cured by closed thoracic drainage. One month after the operation, chest CT showed regular cysts in 2 cases. The other patients were followed up for over 1 year by chest CT after the operation, and all recovered well without residual lesions or recurrence. Combined with the preoperative thin slice CT and intraoperative lesion boundary, anatomical intrapulmonary dissociation based on the pulmonary vein system, TALR, as a lung-sparing surgery of completely removing the lesion and retaining all normal lung tissue, has high safety and effectiveness in the treatment of CLMs.
期刊介绍:
Seminars in Thoracic and Cardiovascular Surgery is devoted to providing a forum for cardiothoracic surgeons to disseminate and discuss important new information and to gain insight into unresolved areas of question in the specialty. Each issue presents readers with a selection of original peer-reviewed articles accompanied by editorial commentary from specialists in the field. In addition, readers are offered valuable invited articles: State of Views editorials and Current Readings highlighting the latest contributions on central or controversial issues. Another prized feature is expert roundtable discussions in which experts debate critical questions for cardiothoracic treatment and care. Seminars is an invitation-only publication that receives original submissions transferred ONLY from its sister publication, The Journal of Thoracic and Cardiovascular Surgery. As we continue to expand the reach of the Journal, we will explore the possibility of accepting unsolicited manuscripts in the future.