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Thoracoscopic segmentectomy for intralobar sequestration in adult: a case report
BACKGROUND: Surgical resection is the first choice for intralobar sequestration (ILS). A lobectomy is often performed, though we consider that a segmentectomy may be sufficient for benign cases if the sequestration is completely included within a segment. CASE PRESENTATION: We treated a 36-year-old...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5991105/ https://www.ncbi.nlm.nih.gov/pubmed/29882097 http://dx.doi.org/10.1186/s40792-018-0427-2 |
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author | Ose, Naoko Takeuchi, Yukiyasu Kobori, Yuko Hayashi, Akio Ishida, Daieuke Kawai, Teruka |
author_facet | Ose, Naoko Takeuchi, Yukiyasu Kobori, Yuko Hayashi, Akio Ishida, Daieuke Kawai, Teruka |
author_sort | Ose, Naoko |
collection | PubMed |
description | BACKGROUND: Surgical resection is the first choice for intralobar sequestration (ILS). A lobectomy is often performed, though we consider that a segmentectomy may be sufficient for benign cases if the sequestration is completely included within a segment. CASE PRESENTATION: We treated a 36-year-old female diagnosed with ILS. Chest computed tomography (CT) revealed several cystic lesions with niveau formation and consolidation in left segment (S)10 without communication of the bronchus and abnormal artery branching from the descending aorta. We performed a sublobar resection of left S10 including sequestration through a thoracoscopic minimally sized incision. The sequestration had dark red appearance and was completely included in the S10. The boundary line of S10 was clear with inflation of the lung after cutting bronchus 10. The postoperative course was uneventful. Chest CT findings at 2 years after surgery showed good expansion of the residual left lower lobe with no consolidation and respiratory function were nearly the same as the preoperative condition. CONCLUSIONS: A thoracoscopic segmentectomy for ILS is a feasible and useful procedure for qualified cases, even in adult patients who had repeated inflammation. |
format | Online Article Text |
id | pubmed-5991105 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-59911052018-06-21 Thoracoscopic segmentectomy for intralobar sequestration in adult: a case report Ose, Naoko Takeuchi, Yukiyasu Kobori, Yuko Hayashi, Akio Ishida, Daieuke Kawai, Teruka Surg Case Rep Case Report BACKGROUND: Surgical resection is the first choice for intralobar sequestration (ILS). A lobectomy is often performed, though we consider that a segmentectomy may be sufficient for benign cases if the sequestration is completely included within a segment. CASE PRESENTATION: We treated a 36-year-old female diagnosed with ILS. Chest computed tomography (CT) revealed several cystic lesions with niveau formation and consolidation in left segment (S)10 without communication of the bronchus and abnormal artery branching from the descending aorta. We performed a sublobar resection of left S10 including sequestration through a thoracoscopic minimally sized incision. The sequestration had dark red appearance and was completely included in the S10. The boundary line of S10 was clear with inflation of the lung after cutting bronchus 10. The postoperative course was uneventful. Chest CT findings at 2 years after surgery showed good expansion of the residual left lower lobe with no consolidation and respiratory function were nearly the same as the preoperative condition. CONCLUSIONS: A thoracoscopic segmentectomy for ILS is a feasible and useful procedure for qualified cases, even in adult patients who had repeated inflammation. Springer Berlin Heidelberg 2018-06-07 /pmc/articles/PMC5991105/ /pubmed/29882097 http://dx.doi.org/10.1186/s40792-018-0427-2 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Case Report Ose, Naoko Takeuchi, Yukiyasu Kobori, Yuko Hayashi, Akio Ishida, Daieuke Kawai, Teruka Thoracoscopic segmentectomy for intralobar sequestration in adult: a case report |
title | Thoracoscopic segmentectomy for intralobar sequestration in adult: a case report |
title_full | Thoracoscopic segmentectomy for intralobar sequestration in adult: a case report |
title_fullStr | Thoracoscopic segmentectomy for intralobar sequestration in adult: a case report |
title_full_unstemmed | Thoracoscopic segmentectomy for intralobar sequestration in adult: a case report |
title_short | Thoracoscopic segmentectomy for intralobar sequestration in adult: a case report |
title_sort | thoracoscopic segmentectomy for intralobar sequestration in adult: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5991105/ https://www.ncbi.nlm.nih.gov/pubmed/29882097 http://dx.doi.org/10.1186/s40792-018-0427-2 |
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