A Modified VATS Procedure for Treating Adult Intralobar Pulmonary Sequestration

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

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