Illustration of isolated intralobar and extralobar lungs.
Mr. NNT (56 years old, residing in Tay Ninh ) incidentally discovered a lesion in the lower lobe of his left lung during a routine check-up. At Binh Dan Hospital, doctors diagnosed him with isolated intralobar lung with a mass measuring 23x26 mm. The artery supplying this mass originated directly from the descending aorta with a diameter of up to 17 mm – a very large size and posing a significant risk if left untreated.
According to Dr. Nguyen Van Viet Thanh, Head of the Thoracic and Thyroid Surgery Department at Binh Dan Hospital, the biggest challenge was dissecting this feeding artery branch. Even a small mistake could lead to uncontrollable bleeding. Faced with this challenge, the hospital-wide consultation decided to choose robotic surgery – the most advanced surgical technology currently available.
The surgery lasted approximately 120 minutes and went smoothly. Because there was no need to open the ribs and the trocar incisions were very small, the patient experienced significantly less pain, reduced blood loss, and a shorter hospital stay. Mr. T recovered quickly and was discharged just 4 days after the surgery.
Isolated lung is a rare congenital anomaly, accounting for only about 0.15-6.4% of lung abnormalities. There are two types of isolated lung: intralobar (accounting for 75%) and extralobar (accounting for 25%). Isolated lung is most commonly found in the lower lobe of the left lung. It is an "extra" lung tissue that develops abnormally during embryonic development. It has no respiratory function and does not communicate with the normal airway.
The most dangerous characteristic of isolated lung tissue is its blood supply. Instead of receiving blood from the pulmonary artery as normal, this tissue mass directly attaches itself to systemic arteries – usually the thoracic or abdominal aorta. If not detected and treated promptly, this isolated lung mass can be fatal at any time.
THANH SON
Source: https://www.sggp.org.vn/lan-dau-tien-phau-thuat-robot-cat-phoi-biet-lap-post840713.html
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