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Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
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Related Experiment Video

Updated: May 14, 2026

Non-Intubated Video-Assisted Thoracoscopic Surgery
05:39

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Published on: May 26, 2023

Complete video-assisted thoracoscopic surgery for pulmonary sequestration.

Jian-Fei Shen1, Xiao-Xue Zhang, Shu-Ben Li

  • 1Department of Cardiothoracic Surgery, The First Affiliated Hospital of Guangzhou Medical College, Guangzhou 510120, China.

Journal of Thoracic Disease
|February 2, 2013
PubMed
Summary

Complete video-assisted thoracoscopic surgery (c-VATS) is a safe and effective treatment for pulmonary sequestration. This minimally invasive approach offers good outcomes with no mortality or significant complications in patients with this rare lung condition.

Keywords:
Complete video-assisted thoracoscopic surgery (c-VATS)pulmonary sequestrationtreatment

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Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Procedures
  • Pulmonary Medicine

Background:

  • Pulmonary sequestration is a rare congenital lung malformation.
  • Surgical resection is the primary treatment for symptomatic pulmonary sequestration.
  • Complete video-assisted thoracoscopic surgery (c-VATS) offers a minimally invasive alternative to traditional thoracotomy.

Purpose of the Study:

  • To analyze the characteristics and technical difficulties of c-VATS for pulmonary sequestration.
  • To evaluate the feasibility, effectiveness, and safety of c-VATS in treating pulmonary sequestration.
  • To assess the short-term and long-term outcomes of c-VATS for pulmonary sequestration.

Main Methods:

  • Retrospective review of 25 patients undergoing c-VATS lobectomy for intrapulmonary sequestration between January 2009 and May 2012.
  • Preoperative diagnosis using CT scan and 3D reconstruction to identify abnormal vasculature.
  • Analysis of intraoperative findings, operative time, blood loss, chest drainage duration, and postoperative hospital stay.

Main Results:

  • All 25 patients underwent successful c-VATS excision without conversion to open surgery.
  • Intraoperative findings revealed vascular abnormalities in most cases, including the thoracic and abdominal aorta.
  • Mean operative time was 114.2 minutes, mean blood loss was 228 mL, with short chest drainage duration (3.2 days) and hospital stay (6.6 days).
  • No mortality or significant postoperative complications were observed, with a mean follow-up of 21.4 months showing no recurrence.

Conclusions:

  • c-VATS is a feasible, effective, and safe surgical approach for pulmonary sequestration.
  • The minimally invasive nature of c-VATS leads to favorable postoperative outcomes.
  • c-VATS is a valuable clinical option for managing pulmonary sequestration.