Abstract
Objective The aim of this report is to summarize the experience of completely video-assisted
thoracoscopic surgery (VATS) for pulmonary sequestration in a single center and to
evaluate the long-term outcome in a larger series of patients.
Methods The data of 35 pulmonary sequestrations who received completely VATS consecutively
in Peking University People's Hospital between January 2008 and November 2017 were
retrospectively reviewed. Twenty-three females and twelve males with an average of
38 years old were included.
Results A total of 28 (80%) patients had preoperative symptoms; leading symptoms were recurrent
infections (22), fever (11), hemoptysis (11), chest pain (9), and shortness of breath
(4). Twenty-nine (82.9%) patients were intralobar pulmonary sequestration (22 in the
left lower lobe, 6 in the right lower lobe, and 1 in the left upper lobe) and six
(17.1%) patients were extralobar pulmonary sequestration. All the patients underwent
VATS excision successfully, 26 underwent lobectomy, 2 underwent wedge resection, 1
underwent occlusion of the aberrant artery, and 6 underwent mass resection in all
of those with extralobar pulmonary sequestration. The median surgery time and estimated
blood loss was 150 (75–300) minutes and 50 (10–600) mL, respectively. There was no
mortality. Only one patient suffered postoperative complication (recurrent laryngeal
nerve injury). During the median follow-up period of 57 months, none of the patients
presented recurrence.
Conclusions Completely VATS was a safe and effective mini-invasive procedure for pulmonary sequestration
in an experienced team. Its long-term outcome was remarkable.
Keywords
pulmonary sequestration - VATS - treatment
