PDF(Pubmed)
Abstract：
UNASSIGNED: Bronchial foreign body aspiration is a life-threatening emergency. Largely, the published literature focuses on the removal of foreign bodies by bronchoscopy, while the surgical removal of endobronchial foreign bodies is rarely reported on. Thus, we presented a case of a bronchial foreign body that was successfully removed by a video-assisted thoracoscopic surgical (VATS) bronchotomy, after multiple failed bronchoscopic attempts.
METHODS: A 77-year-old male patient presented with a 2-month duration of a persistent cough and low-grade fever after undergoing dental treatment. Bronchoscopy revealed a dental crown surrounded by granulation tissue in the right basal bronchus. The patient was referred to our department for open surgery after undergoing multiple unsuccessful extractions. The bronchial foreign body was removed by a VATS bronchotomy. The postoperative course was uneventful, and the patient was discharged 2 days postoperatively without any complications.
UNASSIGNED: Most aspirated tracheobronchial foreign bodies can be removed through bronchoscopy; nonetheless, certain aspirated foreign bodies may require surgical intervention. Furthermore, the indications for bronchotomies encompass the failure to remove the foreign body despite repeated attempts, due to immobility, with or without distal bronchial placement. Thoracoscopy is beneficial in providing superior visualization, with an increased likelihood of post-bronchotomy recovery.
CONCLUSIONS: VATS bronchotomy is a safe and effective alternative for the removal of bronchial foreign bodies without sacrificing the functioning of the lung parenchyma.
METHODS: A 77-year-old male patient presented with a 2-month duration of a persistent cough and low-grade fever after undergoing dental treatment. Bronchoscopy revealed a dental crown surrounded by granulation tissue in the right basal bronchus. The patient was referred to our department for open surgery after undergoing multiple unsuccessful extractions. The bronchial foreign body was removed by a VATS bronchotomy. The postoperative course was uneventful, and the patient was discharged 2 days postoperatively without any complications.
UNASSIGNED: Most aspirated tracheobronchial foreign bodies can be removed through bronchoscopy; nonetheless, certain aspirated foreign bodies may require surgical intervention. Furthermore, the indications for bronchotomies encompass the failure to remove the foreign body despite repeated attempts, due to immobility, with or without distal bronchial placement. Thoracoscopy is beneficial in providing superior visualization, with an increased likelihood of post-bronchotomy recovery.
CONCLUSIONS: VATS bronchotomy is a safe and effective alternative for the removal of bronchial foreign bodies without sacrificing the functioning of the lung parenchyma.
摘要：
■支气管异物吸入是一种危及生命的紧急情况。很大程度上,发表的文献集中在通过支气管镜切除异物，而手术切除支气管内异物的报道很少。因此，我们介绍了一例支气管异物，通过电视胸腔镜手术（VATS）支气管切开术成功切除，在多次尝试支气管镜失败后。
方法：一名77岁男性患者在接受牙科治疗后表现为持续咳嗽和低热2个月。支气管镜检查显示，右基底支气管中的牙冠被肉芽组织包围。患者在经历多次不成功的拔除后被转介到我们部门进行开放手术。通过VATS支气管切开术去除支气管异物。术后进展顺利，患者术后2天出院，无任何并发症。
■大多数吸入的气管支气管异物可以通过支气管镜取出；尽管如此，某些吸入的异物可能需要手术干预。此外，支气管切开术的适应症包括尽管反复尝试但未能清除异物，由于不动，有或没有远端支气管放置。胸腔镜检查有利于提供卓越的可视化，支气管切开术后恢复的可能性增加。
结论：VATS支气管切开术是在不牺牲肺实质功能的情况下切除支气管异物的安全有效的替代方法。
方法：一名77岁男性患者在接受牙科治疗后表现为持续咳嗽和低热2个月。支气管镜检查显示，右基底支气管中的牙冠被肉芽组织包围。患者在经历多次不成功的拔除后被转介到我们部门进行开放手术。通过VATS支气管切开术去除支气管异物。术后进展顺利，患者术后2天出院，无任何并发症。
■大多数吸入的气管支气管异物可以通过支气管镜取出；尽管如此，某些吸入的异物可能需要手术干预。此外，支气管切开术的适应症包括尽管反复尝试但未能清除异物，由于不动，有或没有远端支气管放置。胸腔镜检查有利于提供卓越的可视化，支气管切开术后恢复的可能性增加。
结论：VATS支气管切开术是在不牺牲肺实质功能的情况下切除支气管异物的安全有效的替代方法。
