単孔式胸腔鏡下左上区域切除術を施行した先天性気管支閉鎖症の1例

Resection of Left Upper Division by Uniportal Video-assisted Thoracoscopic Surgery for Congenital Bronchial Atresia：Report of a Case

はじめに　単孔式胸腔鏡下手術は疼痛軽減や整容性に優れ，近年広まってきている．われわれは，本手技を用いて先天性気管支閉鎖症に対する左上区域切除術を行った症例を経験したので報告する．

We report a case of congenital bronchial atresia resected by the uniportal thoracoscopic approach. A man in his 20s with congenital bronchial atresia diagnosed at 16 years of age visited our hospital with gradually worsening shortness of breath. Chest computed tomography revealed a localized emphysematous area that progressively increased in size, in the left upper lobe and the absence of a left upper division bronchus with mucoid impaction. Surgical treatment was deemed necessary in view of dyspnea and progressively worsening emphysema, and the resection of left upper division was performed by uniportal video-assisted thoracoscopic surgery.