Abstract：
OBJECTIVE: The aim of the study was to evaluate pulmonary sequestration (PS). We report on location, blood supply, histology, clinical manifestation, and surgical treatment of PS, as well as on postoperative course in patients with PS.
BACKGROUND: PS is a rare congenital defect of the lower respiratory tract, it represents locus minoris resistentiae of the body. Occasionally, PS is diagnosed for the first time in adulthood.
METHODS: We evaluated 7 cases of PS treated at the Centre of Thoracic Surgery in Vyšné Hágy, Slovakia, between years 2013 and 2020.
RESULTS: Four of our seven patients were asymptomatic; the PS was found incidentally upon chest imaging. Three patients had recurrent bronchopneumonia related specifically to the intralobar type of sequestration. The most significant complication, observed in a singular patient, was a life-threatening episode of haemoptysis, requiring urgent surgical intervention. In the other 6 cases, the sequestra were surgically resected during the period when they were asymptomatic. and their sputum was confirmed negative upon microbiological examination. Anatomical resection of the affected pulmonary lobe by thoracotomy was the most common type of operation performed (4 cases, n = 7). There was no surgical mortality.
CONCLUSIONS: To prevent complications, it is crucial to perform surgical treatment for pulmonary sequestration in patients who have sufficient functional capacity (Tab. 2, Fig. 4, Ref. 30). Text in PDF www.elis.sk Keywords: pulmonary sequestration, anatomic lobectomy, haemoptysis.
BACKGROUND: PS is a rare congenital defect of the lower respiratory tract, it represents locus minoris resistentiae of the body. Occasionally, PS is diagnosed for the first time in adulthood.
METHODS: We evaluated 7 cases of PS treated at the Centre of Thoracic Surgery in Vyšné Hágy, Slovakia, between years 2013 and 2020.
RESULTS: Four of our seven patients were asymptomatic; the PS was found incidentally upon chest imaging. Three patients had recurrent bronchopneumonia related specifically to the intralobar type of sequestration. The most significant complication, observed in a singular patient, was a life-threatening episode of haemoptysis, requiring urgent surgical intervention. In the other 6 cases, the sequestra were surgically resected during the period when they were asymptomatic. and their sputum was confirmed negative upon microbiological examination. Anatomical resection of the affected pulmonary lobe by thoracotomy was the most common type of operation performed (4 cases, n = 7). There was no surgical mortality.
CONCLUSIONS: To prevent complications, it is crucial to perform surgical treatment for pulmonary sequestration in patients who have sufficient functional capacity (Tab. 2, Fig. 4, Ref. 30). Text in PDF www.elis.sk Keywords: pulmonary sequestration, anatomic lobectomy, haemoptysis.
摘要：
目的：本研究的目的是评估肺隔离症（PS）。我们报告地点，血液供应,组织学,临床表现,和PS的手术治疗，以及PS患者的术后病程。
背景：PS是一种罕见的先天性下呼吸道缺损，它代表身体的微型基因座抗性。偶尔,PS在成年后首次被诊断。
方法：我们评估了VyšnéHágy胸外科中心治疗的7例PS，斯洛伐克,从2013年到2020年。
结果：我们的7例患者中有4例无症状；PS是在胸部成像时偶然发现的。三名患者的支气管肺炎复发与叶内隔离类型有关。最重要的并发症，在一个单一的病人身上观察到的，是一次危及生命的咯血,需要紧急手术干预.在其他6个案例中，在无症状期间，隔离症被手术切除。他们的痰经微生物学检查证实为阴性。开胸手术切除受影响的肺叶是最常见的手术类型（4例，n=7)。没有手术死亡。
结论：为了防止并发症，对于具有足够功能能力的患者，进行肺隔离症的手术治疗至关重要（表。2，图。4，参考。30).PDF中的文本www.Elis.sk关键词：肺隔离症，解剖肺叶切除术,咯血.
背景：PS是一种罕见的先天性下呼吸道缺损，它代表身体的微型基因座抗性。偶尔,PS在成年后首次被诊断。
方法：我们评估了VyšnéHágy胸外科中心治疗的7例PS，斯洛伐克,从2013年到2020年。
结果：我们的7例患者中有4例无症状；PS是在胸部成像时偶然发现的。三名患者的支气管肺炎复发与叶内隔离类型有关。最重要的并发症，在一个单一的病人身上观察到的，是一次危及生命的咯血,需要紧急手术干预.在其他6个案例中，在无症状期间，隔离症被手术切除。他们的痰经微生物学检查证实为阴性。开胸手术切除受影响的肺叶是最常见的手术类型（4例，n=7)。没有手术死亡。
结论：为了防止并发症，对于具有足够功能能力的患者，进行肺隔离症的手术治疗至关重要（表。2，图。4，参考。30).PDF中的文本www.Elis.sk关键词：肺隔离症，解剖肺叶切除术,咯血.
