[Pulmonary intralobar sequestration in adults: Evolution of surgical treatment].
Séquestrations pulmonaires intralobaires de l’adulte : évolution du traitement chirurgical.
Adolescent
Adult
Bronchopulmonary Sequestration
/ epidemiology
Female
Humans
Male
Middle Aged
Pneumonectomy
/ adverse effects
Postoperative Complications
/ epidemiology
Retrospective Studies
Thoracic Surgery, Video-Assisted
/ adverse effects
Thoracotomy
/ adverse effects
Treatment Outcome
Young Adult
Pulmonary sequestration
Résection infralobaire
Segmentectomie
Segmentectomy
Sublobar resection
Séquestration pulmonaire
Thoracoscopie
Thoracoscopy
Journal
Revue des maladies respiratoires
ISSN: 1776-2588
Titre abrégé: Rev Mal Respir
Pays: France
ID NLM: 8408032
Informations de publication
Date de publication:
Feb 2019
Feb 2019
Historique:
received:
16
06
2017
accepted:
04
03
2018
pubmed:
29
1
2019
medline:
6
8
2019
entrez:
29
1
2019
Statut:
ppublish
Résumé
Until now, the traditional procedure to treat intralobar pulmonary sequestration (ILS) in adults has been a lobectomy performed by open thoracotomy. We have reviewed our data to observe if the surgical management of these lesions has evolved over the last years. We retrospectively reviewed the records of the patients who were operated for an ILS either by posterolateral thoracotomy (PLT group), or by thoracoscopy (TS group) between 2000 and 2016. Eighteen patients were operated for a SIL during this period. Prior to 2011, all resections were performed by thoracotomy (n=6) and after 2011 the surgical approach was either a thoracotomy (n=5) or a thoracoscopy (n=7). There was one conversion because of dense pleural adhesions and this patient was integrated in the PLT group for further analysis. ILS were more frequently encountered on the left side (n=12, 66.6 %) than on the right one (n=6, 33.3 %) and exclusively in the lower lobes. All patients of the PLT group underwent a lobectomy. In the TS group, 5 patients underwent a sublobar resection (2 segmentectomiesS These data confirm that ILS can be safely treated by a sublobar resection that should be performed, whenever possible, thoracoscopically.
Sections du résumé
BACKGROUND
BACKGROUND
Until now, the traditional procedure to treat intralobar pulmonary sequestration (ILS) in adults has been a lobectomy performed by open thoracotomy. We have reviewed our data to observe if the surgical management of these lesions has evolved over the last years.
METHODS
METHODS
We retrospectively reviewed the records of the patients who were operated for an ILS either by posterolateral thoracotomy (PLT group), or by thoracoscopy (TS group) between 2000 and 2016.
RESULTS
RESULTS
Eighteen patients were operated for a SIL during this period. Prior to 2011, all resections were performed by thoracotomy (n=6) and after 2011 the surgical approach was either a thoracotomy (n=5) or a thoracoscopy (n=7). There was one conversion because of dense pleural adhesions and this patient was integrated in the PLT group for further analysis. ILS were more frequently encountered on the left side (n=12, 66.6 %) than on the right one (n=6, 33.3 %) and exclusively in the lower lobes. All patients of the PLT group underwent a lobectomy. In the TS group, 5 patients underwent a sublobar resection (2 segmentectomiesS
CONCLUSIONS
CONCLUSIONS
These data confirm that ILS can be safely treated by a sublobar resection that should be performed, whenever possible, thoracoscopically.
Identifiants
pubmed: 30686557
pii: S0761-8425(18)30341-3
doi: 10.1016/j.rmr.2018.10.008
pii:
doi:
Types de publication
Journal Article
Langues
fre
Pagination
129-134Informations de copyright
Copyright © 2018 SPLF. Published by Elsevier Masson SAS. All rights reserved.