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Thorac Cardiovasc Surg 2021; 69(02): 194-196
DOI: 10.1055/s-0040-1708870
How to Do It

A Modified VATS Procedure for Treating Adult Intralobar Pulmonary Sequestration

Bo Zeng
1   Department of Thoracic Surgery, Sun Yat-sen University First Affiliated Hospital, Guangzhou, China
,
Jianyong Zou
1   Department of Thoracic Surgery, Sun Yat-sen University First Affiliated Hospital, Guangzhou, China
,
Weixiong Yang
1   Department of Thoracic Surgery, Sun Yat-sen University First Affiliated Hospital, Guangzhou, China
,
Zhenguo Liu
1   Department of Thoracic Surgery, Sun Yat-sen University First Affiliated Hospital, Guangzhou, China
,
Chunying Xie
1   Department of Thoracic Surgery, Sun Yat-sen University First Affiliated Hospital, Guangzhou, China
,
Chao Cheng
1   Department of Thoracic Surgery, Sun Yat-sen University First Affiliated Hospital, Guangzhou, China
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Abstract

Video-assisted thoracoscopic surgery (VATS) makes it possible to treat intralobar sequestration (ILS) more minimally invasive compared with conventional open surgery. However, this procedure is challenging to expose and isolate the aberrant arteries of ILS and the risk of bleeding is high. Herein, we developed a modified VATS procedure in which the aberrant vessels are treated in the last step of lobectomy, rather than at the beginning. In this way, we can expose the aberrant vessels easier and reduce the risk of massive blood loss, also simplifying the surgical procedure.

Keywords

adult intralobar pulmonary sequestration - surgery - VATS

Authors' Contribution

C.C., B.Z. and J.Z. participated in surgery performance and drafting the manuscript and should be considered equal authors; B.Z., Z.L. and W.Y. participated in the making of figures and video; C.X. and W.Y. participated in data collection and follow-up. C.C. designed the study and revised the manuscript.




Publication History

Received: 29 October 2019

Accepted: 06 February 2020

Article published online:
17 November 2020

© 2020. Thieme. All rights reserved.

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