Cargando…
Video-assisted thoracoscopic surgery: The preferred method to manage pulmonary sequestration
BACKGROUND: This study aims at describing the feasibility and safety of video-assisted thoracic surgery (VATS) in benign diseases such as pulmonary sequestrations (PSs) and report the surgical outcomes. MATERIALS AND METHODS: This is a retrospective analysis of prospectively maintained data of 25 pa...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8973496/ https://www.ncbi.nlm.nih.gov/pubmed/33605934 http://dx.doi.org/10.4103/jmas.JMAS_251_20 |
_version_ | 1784680051508248576 |
---|---|
author | Bishnoi, Sukhram Puri, Harsh Vardhan Asaf, Belal Bin Pulle, Mohan Venkatesh Parikh, Manan Bharat Kumar Patel, Mitul Vinodbhai Sirohi, Ajay Kumar, Arvind |
author_facet | Bishnoi, Sukhram Puri, Harsh Vardhan Asaf, Belal Bin Pulle, Mohan Venkatesh Parikh, Manan Bharat Kumar Patel, Mitul Vinodbhai Sirohi, Ajay Kumar, Arvind |
author_sort | Bishnoi, Sukhram |
collection | PubMed |
description | BACKGROUND: This study aims at describing the feasibility and safety of video-assisted thoracic surgery (VATS) in benign diseases such as pulmonary sequestrations (PSs) and report the surgical outcomes. MATERIALS AND METHODS: This is a retrospective analysis of prospectively maintained data of 25 patients who were operated for PS over 7 years at a dedicated thoracic surgery centre in India. Pre-operative details, operative technique and details, post-operative details and complications were recorded and analysed. RESULTS: There were 15 (60%) males and 10 (40%) females, with a median age of 22.28 years (range, 16–28 years). All patients had intra-lobar type of sequestration. The most commonly involved was left lower lobe (n = 15 patients, 60%) followed by the right lower lobe (n = 10 patients, 40%). The origin of blood supply was from the descending thoracic aorta in 18 patients (72%), the abdominal aorta in 5 (20%) and the coeliac trunk and the inferior phrenic artery in one patient (4%) each. All patients underwent complete lobar resection. One patient was converted because of dense hilar adhesion. The average duration of surgery was 179 min and the average blood loss was 204 ml. The median hospital stay and chest tube duration were 4 and 3 days, respectively. One patient was re-explored because of post-operative bleeding. Only one patient had an air leak for >7 days. The median follow-up was 42 months (range, 6–90 months) without any recurrence. CONCLUSIONS: VATS is a safe, feasible and effective option for PS at experienced centres. |
format | Online Article Text |
id | pubmed-8973496 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-89734962022-04-02 Video-assisted thoracoscopic surgery: The preferred method to manage pulmonary sequestration Bishnoi, Sukhram Puri, Harsh Vardhan Asaf, Belal Bin Pulle, Mohan Venkatesh Parikh, Manan Bharat Kumar Patel, Mitul Vinodbhai Sirohi, Ajay Kumar, Arvind J Minim Access Surg Original Article BACKGROUND: This study aims at describing the feasibility and safety of video-assisted thoracic surgery (VATS) in benign diseases such as pulmonary sequestrations (PSs) and report the surgical outcomes. MATERIALS AND METHODS: This is a retrospective analysis of prospectively maintained data of 25 patients who were operated for PS over 7 years at a dedicated thoracic surgery centre in India. Pre-operative details, operative technique and details, post-operative details and complications were recorded and analysed. RESULTS: There were 15 (60%) males and 10 (40%) females, with a median age of 22.28 years (range, 16–28 years). All patients had intra-lobar type of sequestration. The most commonly involved was left lower lobe (n = 15 patients, 60%) followed by the right lower lobe (n = 10 patients, 40%). The origin of blood supply was from the descending thoracic aorta in 18 patients (72%), the abdominal aorta in 5 (20%) and the coeliac trunk and the inferior phrenic artery in one patient (4%) each. All patients underwent complete lobar resection. One patient was converted because of dense hilar adhesion. The average duration of surgery was 179 min and the average blood loss was 204 ml. The median hospital stay and chest tube duration were 4 and 3 days, respectively. One patient was re-explored because of post-operative bleeding. Only one patient had an air leak for >7 days. The median follow-up was 42 months (range, 6–90 months) without any recurrence. CONCLUSIONS: VATS is a safe, feasible and effective option for PS at experienced centres. Wolters Kluwer - Medknow 2022 2021-02-11 /pmc/articles/PMC8973496/ /pubmed/33605934 http://dx.doi.org/10.4103/jmas.JMAS_251_20 Text en Copyright: © 2021 Journal of Minimal Access Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Bishnoi, Sukhram Puri, Harsh Vardhan Asaf, Belal Bin Pulle, Mohan Venkatesh Parikh, Manan Bharat Kumar Patel, Mitul Vinodbhai Sirohi, Ajay Kumar, Arvind Video-assisted thoracoscopic surgery: The preferred method to manage pulmonary sequestration |
title | Video-assisted thoracoscopic surgery: The preferred method to manage pulmonary sequestration |
title_full | Video-assisted thoracoscopic surgery: The preferred method to manage pulmonary sequestration |
title_fullStr | Video-assisted thoracoscopic surgery: The preferred method to manage pulmonary sequestration |
title_full_unstemmed | Video-assisted thoracoscopic surgery: The preferred method to manage pulmonary sequestration |
title_short | Video-assisted thoracoscopic surgery: The preferred method to manage pulmonary sequestration |
title_sort | video-assisted thoracoscopic surgery: the preferred method to manage pulmonary sequestration |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8973496/ https://www.ncbi.nlm.nih.gov/pubmed/33605934 http://dx.doi.org/10.4103/jmas.JMAS_251_20 |
work_keys_str_mv | AT bishnoisukhram videoassistedthoracoscopicsurgerythepreferredmethodtomanagepulmonarysequestration AT puriharshvardhan videoassistedthoracoscopicsurgerythepreferredmethodtomanagepulmonarysequestration AT asafbelalbin videoassistedthoracoscopicsurgerythepreferredmethodtomanagepulmonarysequestration AT pullemohanvenkatesh videoassistedthoracoscopicsurgerythepreferredmethodtomanagepulmonarysequestration AT parikhmananbharatkumar videoassistedthoracoscopicsurgerythepreferredmethodtomanagepulmonarysequestration AT patelmitulvinodbhai videoassistedthoracoscopicsurgerythepreferredmethodtomanagepulmonarysequestration AT sirohiajay videoassistedthoracoscopicsurgerythepreferredmethodtomanagepulmonarysequestration AT kumararvind videoassistedthoracoscopicsurgerythepreferredmethodtomanagepulmonarysequestration |