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The 30-year-old youth has a fever and cough. It turns out that he has an extra lung

Author:admin      Time:2023-01-30     Number :239

Have you ever heard of a 30-year-old boy who has a lung and this lung tissue has no respiratory function?


Recently, Wang Wuping, director of thoracic surgery, performed minimally invasive surgery with single-hole thoracoscope for a patient with pulmonary sequestration, and successfully removed the pain of the patient.


Mr. Wang, a 30-year-old patient, found abnormal shadows in the lung two years ago, but he didn't care because of the small size of the lesion. Recently, Mr. Wang continued to cough and have a fever. He came to our hospital and found that an abnormal blood vessel from the autonomic artery penetrated the left lower lung lesion, which was diagnosed as pulmonary sequestration. In fact, the lung tissue of the patient, Mr. Wang, was detected in the external hospital as early as 2020, but the focus was very small at that time, so it did not attract attention. Two years later, chest CT showed that this lung tissue increased to 7cm ? 6.2cm size.



When it comes to pulmonary sequestration, many people are unfamiliar. The data show that pulmonary sequestration is a congenital dysplasia. A part of the lung tissue is separated from the normal lung and developed independently and connected with the recipient's circulating blood supply. As undeveloped bronchopulmonary tissue, isolated lung has no lung function.


Director Wang Wuping said that generally speaking, pulmonary sequestration is like another lung growing in the lung. The extra lung of the patient can not provide vital capacity, but is a time bomb. Most patients have recurrent or persistent pulmonary infectious symptoms, such as fever, cough, expectoration, hemoptysis, chest pain, and a few have the possibility of cancer. However, routine chest X-ray showed solitary mass, which was easily misdiagnosed as tumor, inflammatory pseudotumor, bronchiectasis, lung cyst, lung abscess, etc. In this case, it is rare that the lung tissue is seriously damaged due to the rapid enlargement of the lesion within two years.



Considering the possibility of pulmonary sequestration and infection, Mr. Wang accepted surgical treatment according to the doctor's instructions. After everything was ready, with the full cooperation of the Anesthesia and Operation Center, Director Wang Wuping carried out a single-hole thoracoscopic minimally invasive resection of lung lesions for the patient. Due to the existence of abnormal nutrient arteries, combined with infection and other factors, the anatomical level was relatively complex. In order to avoid accidental injury and massive hemorrhage, as usual, Director Wang Wuping started with interlobular fissure and cut off the pulmonary artery, bronchus and pulmonary vein in turn in a one-way manner, Finally, the lower lung ligament was treated, and the isolated pulmonary artery was carefully identified and ligated.


Finally, Director Wang Wuping, relying on years of surgical experience and superb medical skills, successfully removed the lung tissue. The lesion with a diameter of 7cm was only 3cm. After operation, the patient's vital signs were stable and recovered smoothly.



"Thank you very much! I didn't expect to be cured so soon here." When leaving hospital, Mr. Wang and his wife sent the banner to Director Wang Wuping to express their gratitude.