10.25373/CTSNET.15157470.V1
Sara Hafidi
Sara
Hafidi
Souheil Boubia
Souheil
Boubia
Abdellah Fatene
Abdellah
Fatene
Najat Id El Haj
Najat
Id El Haj
Mohammed Ridai
Mohammed
Ridai
Left Uniportal VATS Completion Pneumonectomy for Bronchiectasis
<p>Bronchiectasis is a chronic respiratory disease
characterized clinically as a syndrome consisting of cough, sputum production,
and bronchial infection and radiologically by abnormal and permanent dilatation
of the bronchi. (1)</p>
<p>The objectives of bronchiectasis treatment are to prevent
exacerbations, reduce symptoms, improve quality of life, and halt disease
progression. Surgical treatment is usually considered an appropriate therapy
for bronchiectasis among patients with recurrent exacerbations or refractory
disease. (2)</p>
<p>Uniportal video-assisted thoracic surgery (VATS) has a history
spanning over more than 10 years and, more recently, has become an increasingly
popular approach to manage most of the thoracic surgical diseases. The
potential advantages of reduced access trauma, less pain and better cosmesis,
together with patient demand, have seen uniportal VATS spread across the world.
(3)</p>
<p>A 21-year-old woman was hospitalized in our thoracic surgery
department with a symptomatology of cough, sputum production, repetitive
respiratory infections that started six years before his admission, treated by
antibiotic therapy. Having as antecedent a left lower lobectomy by a left
posterolateral thoracotomy in 2008 for bronchiectasis, in the pediatric surgery
department.</p>
<p>A chest CT scan was requested showing a destroyed left lung
with bronchiectasis, hypertrophy of the right lung and delivery of elements
from the mediastinum to the left side.</p>
<p>The bronchoscopy objectified a scar of the left lower
lobectomy, without visible fistula and reduction of the caliber of the left
upper lobar bronchus and thickening of the spurs with the presence of purulent
secretions.</p>
<p>On the spirometry results, the FEV was 66%.</p>
<p>The patient was then admitted for a left completion
pneumonectomy wich was performed successfully by uniportal VATS approach.</p>
<p><b>References</b></p>
<p>1. Polverino E, Goeminne PC, McDonnell MJ, Aliberti S,
Marshall SE, Loebinger MR, et al. European Respiratory Society guidelines for
the management of adult bronchiectasis. Eur Respir J [Internet]. sept 2017 </p>
<p>2. Hao X, Dazhong L, Lei Y, Jiaying Z, Linyou Z. Surgical
Treatment of Bronchiectasis: 5 Years of Experience at a Single Institution.
Journal of Laparoendoscopic & Advanced Surgical Techniques [Internet]. juin
2019 </p>
<p>3. Gonzalez-Rivas D. Recent advances in uniportal
video-assisted thoracoscopic surgery. Chin J Cancer Res. 2015;27(1):4. </p>
110323 Surgery
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2021
2021-08-12
2021-08-12
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10.25373/ctsnet.15157470
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