先天性嚢胞性腺腫様奇形を合併した乳児肺葉内肺分画症に対し胸腔鏡補助下分画肺切除術を施行した 1 例  [in Japanese] Video-assisted Thoracosopic Resection of Intralobar Pulmonary Sequestration Associated With Congenital Cystic Adenomatoid Malformation : A Case Report  [in Japanese]

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Abstract

今回われわれは, 胸腔鏡補助下に分画肺切除術を施行した肺葉内肺分画症の乳児例を経験したので報告する.症例は女児.胎齢26週に行われた胎児超音波検査で左胸腔内に腫瘤の存在を指摘された.その後分娩が進行し, 胎齢28週6日緊急帝王切開で出生, 出生体重は1, 272gであった.生後胸腔内腫瘤の存在が持続し, 生後1カ月時, magnetic resonance angiographyで, 大動脈から直接分枝し腫瘤に向かう2本の動脈と腫瘤から奇静脈に還流する静脈を認め, 肺分画症の診断で当科紹介となった.生後3カ月, 体重3, 490gで手術を施行した.4cmの小開胸とカメラ用ポートを用いて, 良好な視野のもとでの手術が可能であった.手術時間は2時間33分, 出血量21ml.摘出標本の病理学的検索で先天性嚢腫状腺腫様奇形(Stocker type 2)の所見が確認された.術後経過は良好である.

We report the case of a three-month-old boy with intralobar pulmonary sequestration who was successfully operated on using the video-assisted thoracosopic surgical approach. A left supradiaphragmatic mass was revealed by prenatal ultrasonography at 26 weeks of amenorrhea (WA). The patient was born by cesarian section at 28 WA, secondary to unexpected ongoing delivery and unstable maternal conditions. Magnetic resonance angiography at the age of one-month demonstrated two aberrant arteries originating from the descending aorta. The lung specimen was pathologically confirmed to have a component of congenital cystic adenomatoid malformation, Stocker type II. The postoperative course was uneventful.

Journal

  • Journal of the Japanese Society of Pediatric Surgeons

    Journal of the Japanese Society of Pediatric Surgeons 38(7), 1086-1091, 2002

    The Japanese Society of Pediatric Surgeons

References:  24

Cited by:  5

Codes

  • NII Article ID (NAID)
    110002114455
  • NII NACSIS-CAT ID (NCID)
    AN00192281
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    0288-609X
  • Data Source
    CJP  CJPref  NII-ELS  J-STAGE 
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