Left main bronchus rupture during video-assisted thoracoscopic surgery resection of a bronchogenic cyst
Video-assisted thoracoscopic surgery (VATS) is an approach to resection of bronchogenic cysts (BC) which is effective and viable. There may be complications as a result of pericystic adhesions to neighboring structures during dissection. This report describes an unusual case of an operative complica...
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doaj-99f454cdaaf440a0a936481fededd23f2020-11-25T00:59:00ZengElsevierRevista Portuguesa de Pneumologia0873-21592013-11-01196284286Left main bronchus rupture during video-assisted thoracoscopic surgery resection of a bronchogenic cystE. Peña0M. Blanco1T. Otero2Vigo University, Clinical Hospital, Vigo, SpainCorresponding author.; Vigo University, Clinical Hospital, Vigo, SpainVigo University, Clinical Hospital, Vigo, SpainVideo-assisted thoracoscopic surgery (VATS) is an approach to resection of bronchogenic cysts (BC) which is effective and viable. There may be complications as a result of pericystic adhesions to neighboring structures during dissection. This report describes an unusual case of an operative complication, the rupture of the main left bronchus. The initial VATS approach was converted into a right thoracotomy to remove the cyst and suture the bronchus once adequate exposure was obtained. Bronchus reconstruction failed and a few hours later, it was necessary to perform a left thoracotomy. A left pneumonectomy was required after the attempt to reconstruct the anastomosis was ruled out. The conclusion is that great care should be taken when using VATS approach for BC with adhesions. Resumo: A cirurgia torácica vídeo-assistida (VATS) é uma abordagem eficaz e viável na ressecção de cistos broncogénicos (BC). As complicações durante a dissecção podem dever-se a aderências pericisticas a estruturas vizinhas. Este artigo descreve um caso pouco comum de uma complicação operatória que consiste na rutura do brônquio principal esquerdo. A abordagem inicial VATS foi convertida a uma toracotomia direita para remover o cisto e proceder a sutura do brônquio uma vez obtida a exposição adequada. A reconstrução bronquial fracassou e algumas horas mais tarde foi necessário realizar a toracotomia esquerda. A pneumonectomia esquerda foi inevitável após a tentativa de reconstruir a anastomose ter sido descartada. Em conclusão, a abordagem VATS para o BC com adesões deve ser realizada/planificada com extremo cuidado. Keywords: Bronchogenic cyst, Complications, Thoracoscopy, Palavras-chave: Quisto broncogénico, Complicações, Toracoscopiahttp://www.sciencedirect.com/science/article/pii/S0873215913000810 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
E. Peña M. Blanco T. Otero |
spellingShingle |
E. Peña M. Blanco T. Otero Left main bronchus rupture during video-assisted thoracoscopic surgery resection of a bronchogenic cyst Revista Portuguesa de Pneumologia |
author_facet |
E. Peña M. Blanco T. Otero |
author_sort |
E. Peña |
title |
Left main bronchus rupture during video-assisted thoracoscopic surgery resection of a bronchogenic cyst |
title_short |
Left main bronchus rupture during video-assisted thoracoscopic surgery resection of a bronchogenic cyst |
title_full |
Left main bronchus rupture during video-assisted thoracoscopic surgery resection of a bronchogenic cyst |
title_fullStr |
Left main bronchus rupture during video-assisted thoracoscopic surgery resection of a bronchogenic cyst |
title_full_unstemmed |
Left main bronchus rupture during video-assisted thoracoscopic surgery resection of a bronchogenic cyst |
title_sort |
left main bronchus rupture during video-assisted thoracoscopic surgery resection of a bronchogenic cyst |
publisher |
Elsevier |
series |
Revista Portuguesa de Pneumologia |
issn |
0873-2159 |
publishDate |
2013-11-01 |
description |
Video-assisted thoracoscopic surgery (VATS) is an approach to resection of bronchogenic cysts (BC) which is effective and viable. There may be complications as a result of pericystic adhesions to neighboring structures during dissection. This report describes an unusual case of an operative complication, the rupture of the main left bronchus. The initial VATS approach was converted into a right thoracotomy to remove the cyst and suture the bronchus once adequate exposure was obtained. Bronchus reconstruction failed and a few hours later, it was necessary to perform a left thoracotomy. A left pneumonectomy was required after the attempt to reconstruct the anastomosis was ruled out. The conclusion is that great care should be taken when using VATS approach for BC with adhesions. Resumo: A cirurgia torácica vídeo-assistida (VATS) é uma abordagem eficaz e viável na ressecção de cistos broncogénicos (BC). As complicações durante a dissecção podem dever-se a aderências pericisticas a estruturas vizinhas. Este artigo descreve um caso pouco comum de uma complicação operatória que consiste na rutura do brônquio principal esquerdo. A abordagem inicial VATS foi convertida a uma toracotomia direita para remover o cisto e proceder a sutura do brônquio uma vez obtida a exposição adequada. A reconstrução bronquial fracassou e algumas horas mais tarde foi necessário realizar a toracotomia esquerda. A pneumonectomia esquerda foi inevitável após a tentativa de reconstruir a anastomose ter sido descartada. Em conclusão, a abordagem VATS para o BC com adesões deve ser realizada/planificada com extremo cuidado. Keywords: Bronchogenic cyst, Complications, Thoracoscopy, Palavras-chave: Quisto broncogénico, Complicações, Toracoscopia |
url |
http://www.sciencedirect.com/science/article/pii/S0873215913000810 |
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