1. Stapleless thoracoscopic lobectomy for congenital pulmonary airway malformation: a simple technique in thoracoscopic surgery.
- Author
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Masahata, Kazunori, Uga, Naoko, Nomura, Motonari, Kamiyama, Masafumi, and Okuyama, Hiroomi
- Subjects
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CHEST endoscopic surgery , *OPERATIVE surgery , *LOBECTOMY (Lung surgery) , *AIRWAY (Anatomy) , *HUMAN abnormalities , *CHILD patients - Abstract
Congenital pulmonary airway malformation (CPAM) is a developmental malformation that affects the lung parenchyma, especially terminal respiratory bronchioles. This paper reports a case of an infant diagnosed with CPAM who underwent stapleless thoracoscopic lobectomy using Hem-o-Lok clips®. Computed tomography showed cystic pulmonary lesions in the left lower lobe. Thoracoscopic lobectomy was performed at the age of 1 year and 3 months. During surgery, the hilar vasculature was treated using either Hem-o-Lok® clips or a LigaSure vessel sealing system. The lower lobe bronchus was divided using double Hem-o-Lok® clips proximally. The surgery was successfully completed. The patient's postoperative course was uneventful, and there were no complications. This technique can be easily performed as a thoracoscopic lobectomy with the potential benefits of safe and effective procedures for bronchus closure and vascular sealing in the small working space of pediatric patients. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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