Mier OJM, Núñez BCM, Montiel TRE, Cortés G

Language: Spanish
References: 14
Page: 38-41
PDF size: 154.65 Kb.

ABSTRACT

Introduction: Pneumonectomy is a thoracic surgery that is currently done by open surgery. In recent years, videothoracoscopic surgery (VATS) has won indications; segmentectomy and lobectomy are routine and, in other countries, even pneumonectomies are. In Mexico, patients with pathology susceptible to be treated by pneumonectomy can be operated safely, with the advantages of minimally invasive surgery and without compromising oncological criteria. Clinical case: 33 years old male. Present illness: respiratory infections multi-treated with antibiotics, with partial responses. After radiography and chest tomography, left upper lobe atelectasis is demonstrated. Bronchoscopy shows 90% occlusion of the left main bronchus, biopsy was positive for carcinoid tumor. Spirometry shows that the patient can tolerate a pneumonectomy, so he is accepted for video-assisted thoracoscopic left pneumonectomy (VATS). Three wounds of 5.1 and 1 cm are made. After 210 minutes of surgery the parts are removed. No chest tube, passing to the Intermediate Care Unit. Forty-eight hours later, he is brought to plant, and is discharged at 72 hours. Conclusions: VATS pneumonectomy is a safe procedure with good oncological results, requires no chest drain and has fewer days in hospital and a prompt recovery.

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