婴儿患有双边肺内膜和外膜扣留,需要同时切除:一个病例报告
Kan Suzuki1,2, Rina Matsuda1, Masaaki Sato3
1Department of Pediatric Surgery, The University of Tokyo Hospital, Tokyo, Japan.
Surgical case reports
|November 11, 2025
概括
同时的胸腔镜手术是双边肺部封存婴儿共享共同静脉的可行策略. 这种方法可以防止术后并发症,这与切除只有一次肺部隔离有关.
科学领域:
- 儿科手术 儿科手术
- 胸部外科手术 胸部外科手术
- 遗传性肺部形症 是一种先天性肺部形症.
背景情况:
- 双边肺部封存 (BPS) 是罕见的,特别是当涉及内部和外部类型时.
- 与共享的共同排水静脉并存的BPS带来了独特的外科手术挑战.
- 之前的报告并没有讨论在如此复杂的病例中同时切除的必要性.
研究的目的:
- 评估婴儿同时进行胸腔镜手术的可行性和安全性,用于婴儿的BPS与常见排水静脉.
- 为了突出这一特定场景中单边切除的潜在并发症.
主要方法:
- 一名怀疑产前右肺封存的1岁男孩接受了对比度增强的CT,揭示了共存的右内和左外肺封存.
- 左侧额外腹膜绑定与右侧内侧腹膜绑定共享一个共同的排水静脉 (右下肺静脉).
- 同时进行双侧胸腔镜手术,包括左侧隔离的分阶段切除和右侧隔离的食动脉的绑定,随后是右下叶切除,利用差异性肺透气.
主要成果:
- 该患者成功地同时进行了双边胸腔镜切除肺部封存.
- 术内和术后的疗程没有任何事件.
- 这种方法可以避免单边切除的潜在肺堵塞.
结论:
- 同时进行胸腔镜手术是BPS和常见排水静脉的婴儿的安全和合理的策略.
- 在这种情况下,单侧切除可能会导致严重的术后并发症,例如肺堵塞.
- 这一案例证明了对罕见且复杂的先天性肺形的成功管理方法.
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