Asian Journal of Endoscopic Surgery最新文献

{"title":"Uniportal S6 Segmentectomy for Newly Developed Lung Cancer in the Residual Left Lower Lobe Following Left Lingulectomy","authors":"Sosei Abe,&nbsp;Fumihito Motokura,&nbsp;Yasuo Washida,&nbsp;Yoichi Hachitanda,&nbsp;Masaki Tateishi,&nbsp;Takanori Hazeyama,&nbsp;Junzo Yamaguchi,&nbsp;Yujo Kawashita,&nbsp;Takashi Ueda,&nbsp;Toshihiko Sato","doi":"10.1111/ases.70028","DOIUrl":"10.1111/ases.70028","url":null,"abstract":"<div>\u0000 \u0000 <p>Uniportal video-assisted thoracic surgery (VATS) has gained global popularity as a minimally invasive surgical approach and has been increasingly adopted for various procedures in Japan. The current case report focuses on the uniportal VATS treatment of a 71-year-old female diagnosed with a lesion in the left S⁶ 2 years after undergoing left lingulectomy. The surgery was challenging due to the presence of strong adhesions, particularly in the pulmonary hilum region, thereby increasing the risk of bleeding. Uniportal VATS treatment was conducted to reduce invasiveness and facilitate early ambulation. The patient's postoperative recovery was smooth, and she remained recurrence-free up to approximately 2 years after surgery. This case highlights the challenges of reoperation after anatomical lung resection and emphasizes the importance of surgical adaptability in uniportal VATS treatment for complex cases.</p>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of Sciatic Scoliosis in Lumbar Disc Herniation and Comparative Radiographic Outcomes After Treatment With Full-Endoscopic Interlaminar Discectomy","authors":"Tinnakorn Pluemvitayaporn,&nbsp;Suttinont Surapuchong,&nbsp;Sombat Kunakornsawat,&nbsp;Suppanut Tuntirungrojchai,&nbsp;Suwit Tangcharoenwathanakul,&nbsp;Warot Ratanakoosakul,&nbsp;Kitjapat Tiracharnvut,&nbsp;Pritsanai Pruttikul,&nbsp;Chaiwat Piyasakulkaew,&nbsp;Piyabuth Kittithamvongs","doi":"10.1111/ases.70026","DOIUrl":"10.1111/ases.70026","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Study Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Retrospective cohort study.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Sciatic scoliosis is attributed to non-structural scoliosis resulting from the irritation of spinal nerve roots. Although limited research has addressed the specific characteristics of sciatic scoliotic curve patterns, there is a lack of reported data on the pre- and post-radiographic outcomes of patients with sciatic scoliosis caused by lumbar disc herniation who have undergone full-endoscopic interlaminar discectomy (FEID).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objectives&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To analyze the distinctive pattern and compare the radiographic results in patients with sciatic scoliosis caused by lumbar disc herniation who have undergone FEID.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The medical records of patients with sciatic scoliosis caused by lumbar disc herniation who underwent FEID from 2016 to 2022 were gathered and analyzed. The study focused on the prevalence of sciatic scoliosis, the specific location of the lumbar disc herniation, the level of the curve in sciatic scoliosis, and the comparison of pre- and post-operative changes in radiographic outcomes.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A total of 178 patients were analyzed, revealing a prevalence of sciatic scoliosis at 33.7% (60 out of 178). The predominant anatomical location of lumbar disc herniation in cases of sciatic scoliosis was found to be the L4-L5 level, accounting for 56.67% (34 out of 60). The observed lumbosacral curve exhibited a typical pattern with a mean Cobb angle of 14° (range: 2.5–35, standard deviation = 7.46). The mean C7PL-CSVL distance was also measured at 36.2 mm (range: 1–170, standard deviation = 32.5). The mean lumbar lordosis was 21° (range: −1.8–50, standard deviation = 12.96), while the mean Sagittal vertical axis was recorded at 40.9 mm (range: −85–160, standard deviation = 47.8). Notably, no statistically significant difference was observed in the anatomical location of lumbar disc herniation and the apical curve level of sciatic scoliosis. Furthermore, 68% of cases of sciatic scoliosis demonstrated improvement within 12 months, with the average time to improvement being 4 months following FEID.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The FEID procedure has the potential to lead to the natural resolution of sciatic scoliosis within a year. These findings suggest that sciatic scoliosis may not be a reliable indicator for determining the speci","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Rare Case of Sigmoid-Urachal Fistula in an Adult Male Resected Laparoscopically","authors":"Akihiro Tomida,&nbsp;Masaoki Hattori,&nbsp;Akihiro Hirata,&nbsp;Jumpei Shibata,&nbsp;Hiromitsu Imataki,&nbsp;Marika Suzuki,&nbsp;Hideharu Shintomi,&nbsp;Keiya Aono,&nbsp;Motoi Yoshihara","doi":"10.1111/ases.70024","DOIUrl":"10.1111/ases.70024","url":null,"abstract":"<div>\u0000 \u0000 <p>Fistulization involving both the sigmoid colon and urachus is exceedingly rare. While previous cases have often necessitated laparotomy due to the involvement of multiple organs, only one instance of successful laparoscopic surgery has been reported. Here, we present the second documented case of laparoscopic resection of a sigmoid-urachal fistula. A 46-year-old male presented to our hospital with complaints of umbilical pain and discharge, subsequently diagnosed via CT scan as pyourachus, and conservatively managed with antibiotics. Approximately 1 year and 7 months later, a cutaneous ulcer developed below the left side of the umbilicus, accompanied by fecal discharge. Further investigation revealed a fistulous connection between the sigmoid colon and residual urachus as the underlying pathology. Utilizing laparoscopic techniques, we performed en bloc resection of the urachus, dome of the bladder, and sigmoid colon. The patient experienced an uneventful post-operative recovery and was discharged after 9 days.</p>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urinary Continence After Robot-Assisted Laparoscopic Radical Prostatectomy Using the Peritoneal Fixation Technique","authors":"Hideyuki Terao,&nbsp;Hirotaka Nagasaka,&nbsp;Shotaro Yamamoto,&nbsp;Atsuto Suzuki,&nbsp;Kimitsugu Usui,&nbsp;Takeshi Kishida,&nbsp;Noboru Nakaigawa","doi":"10.1111/ases.70000","DOIUrl":"10.1111/ases.70000","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The Retzius-sparing technique for prostate cancer has shown favorable continence recovery outcomes. Magnetic resonance imaging after Retzius-sparing showed that the bladder anterior wall is widely connected to the abdominal wall, which contributes to urinary continence. We aimed to evaluate whether the Peritoneal Fixation technique, which involves suturing the anterior bladder wall onto the abdominal wall above the pubic bone, contributes to the recovery of urinary continence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Patients who underwent robot-assisted laparoscopic radical prostatectomy between May and September 2023 were included in the study. We investigated urinary incontinence on the day of catheter removal and 1 month postoperatively. The posterior urethral angle was evaluated at rest and under abdominal pressure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 54 patients who underwent the Peritoneal Fixation technique (<i>n</i> = 27) and conventional surgery (<i>n</i> = 27) were included. The continence acquisition rate on the day after catheter removal was significantly higher in the Peritoneal Fixation group (40.7%) than in the conventional group (7.4%) (<i>p</i> &lt; 0.05). At 1 month postoperatively, the Peritoneal Fixation group showed favorable results, with a continence rate of 44.4% compared with 29.6% in the conventional group (<i>p</i> = 0.26). The change in the posterior urethral angle at rest and during abdominal pressure significantly differed between the Peritoneal Fixation and conventional groups (−3.0° vs. 2.7°; <i>p</i> &lt; 0.05), indicating that the urethra is being pushed from the rectal side in the Peritoneal Fixation group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The use of the Peritoneal Fixation technique for prostate cancer suggests the potential for achieving favorable urinary continence outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparisons in Postoperative Endoscopic Findings and Postoperative Weight Change Between Delta-Shaped Anastomosis and Circular-Stapled Anastomosis in Laparoscopy-Assisted Distal Gastrectomy With B-I Reconstruction","authors":"Shuichiro Oya,&nbsp;Shinichi Sakuramoto,&nbsp;Yosuke Morimoto,&nbsp;Kazuaki Matsui,&nbsp;Keiji Nishibeppu,&nbsp;Gen Ebara,&nbsp;Shohei Fujita,&nbsp;Shiro Fujihata,&nbsp;Seigi Lee,&nbsp;Yutaka Miyawaki,&nbsp;Hirofumi Sugita,&nbsp;Hiroshi Sato,&nbsp;Keishi Yamashita","doi":"10.1111/ases.70023","DOIUrl":"10.1111/ases.70023","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Laparoscopy-assisted distal gastrectomy (LADG) with Billroth I (B-I) reconstruction is frequently performed for gastric cancer. However, the difference between the circular stapler technique (CS) and delta-shaped anastomosis (DA) remains unclear, especially regarding the postoperative endoscopic physiological findings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Three hundred and one patients including 150 CS patients and 151 DA patients during LADG with B-I reconstruction between 2013 and 2019 at Saitama Medical University International Medical Center were chosen as study subjects. Postoperative endoscopic findings (1-year post-surgery) in the remnant stomach were evaluated according to the residue, gastritis, and bile-reflux classification, and the first-year postoperative weight changes were also recorded.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The incidences of Grade 2 or higher remnant gastritis, bile reflux, and postoperative exacerbated reflux esophagitis were significantly higher in the DA group, while the amount of residual food was higher in the CS group. Multivariate analysis also revealed the higher risks of Grade 2 or higher gastritis and the postoperative existence or exacerbation of erosive reflux esophagitis in the DA group (OR [95% CI] was 2.737 [1.566–4.783], 3.533 [1.101–11.34], and 3.749 [1.021–13.76], respectively). However, none of these endoscopic differences but the broader extent of gastritis was the only endoscopic factor associated with severe postoperative weight loss.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>There was a trend toward more exacerbation of residual gastritis and reflux esophagitis with the DA technique and more food remnants with the CS technique. Although the difference in the anastomotic technique did not directly result in weight loss, attention should be paid to prevent extensive residual gastritis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11757014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) Hysterectomy with Two Previous Renal Transplantations: The First Case in the Literature Two Renal Transplants","authors":"Burak Güler,&nbsp;Cem Erdoğan,&nbsp;Ömer Demir,&nbsp;Cihan Comba","doi":"10.1111/ases.70020","DOIUrl":"10.1111/ases.70020","url":null,"abstract":"<div>\u0000 \u0000 <p>This study demonstrates the feasibility of performing a Transvaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) hysterectomy on a patient with a complex surgical history, including two renal transplants. The case involves a 42-year-old female presenting with persistent menorrhagia and hypermenorrhea, unresponsive to standard treatments, and diagnosed with adenomyosis and CIN3. A detailed, step-by-step procedure of the vNOTES technique is provided, marking the first video article to document vNOTES hysterectomy in such a medical context. The findings highlight vNOTES as a viable approach for treating refractory uterine bleeding and adenomyosis in patients with prior transplants, offering insights for young surgeons considering this minimally invasive technique in complex cases.</p>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transanal Minimally Invasive Surgery for a Gastrointestinal Stromal Tumor of the Lower Rectum: A Case Report","authors":"Atsushi Naito,&nbsp;Hidekazu Takahasi,&nbsp;Terukazu Yoshihara,&nbsp;Kazuya Iwamoto,&nbsp;Nobuyoshi Ohara,&nbsp;Chu Matsuda,&nbsp;Shingo Noura","doi":"10.1111/ases.70025","DOIUrl":"10.1111/ases.70025","url":null,"abstract":"<p>Rectal gastrointestinal stromal tumors (GISTs) are prevalent in the lower rectum, and the existing literature suggests that transanal interventions are advantageous for anorectal preservation. Herein, we present a case of rectal GIST resection using transanal minimally invasive surgery. A 75-year-old woman reported vaginal discomfort and was subsequently diagnosed with GIST via transanal tumor biopsy. Local excision using transanal minimally invasive surgery was performed with an operative duration of 203 min and minimal hemorrhage. No evidence of recurrence was observed at the one-year postoperative follow-up.</p>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic Laparoscopy and Endoscopy Cooperative Surgery for Primary Appendiceal Mucinous Carcinoma Masquerading as Bladder Cancer: A Case Report","authors":"Ryosuke Mizuno,&nbsp;Hisatsugu Maekawa,&nbsp;Koya Hida,&nbsp;Takayuki Goto,&nbsp;Yuki Teramoto,&nbsp;Hiromitsu Kinoshita,&nbsp;Takashi Sakamoto,&nbsp;Shintaro Okumura,&nbsp;Keiko Kasahara,&nbsp;Nobuaki Hoshino,&nbsp;Tatsuto Nishigori,&nbsp;Ryosuke Okamura,&nbsp;Yoshiro Itatani,&nbsp;Shigeo Hisamori,&nbsp;Shigeru Tsunoda,&nbsp;Kazutaka Obama","doi":"10.1111/ases.70021","DOIUrl":"10.1111/ases.70021","url":null,"abstract":"<div>\u0000 \u0000 <p>Bladder invasion by appendiceal cancer resulting in a vesico-appendiceal fistula is an uncommon occurrence. Both radical tumor removal and functional preservation of the bladder are desirable in the surgical treatment of this disease, and there are few reports on detailed surgical methods. Here, we describe a case of primary appendiceal mucinous carcinoma with bladder invasion treated with robotic laparoscopy and endoscopy cooperative surgery (RECS). A woman in her 60s was initially considered to be bladder tumor and underwent transurethral resection. However, the tumor rapidly regrew, and she was rediagnosed with primary appendiceal cancer invading the bladder. RECS was performed, involving ileocecal resection with partial cystectomy. The postoperative course was favorable, with no bladder anastomotic leakage or ureteral obstruction. In the RECS procedure, the robotic operability facilitates bladder wall repair, and simultaneous cystoscopic observation allows for identification of the ureteral orifices, making the combined bladder resection radical and safe.</p>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Case of Robot-Assisted Pylorus-Preserving Pancreatoduodenectomy for Branch-Duct Intraductal Papillary Mucinous Neoplasms Complicated With an Annular Pancreas","authors":"Aoi Hayasaki,&nbsp;Naohisa Kuriyama,&nbsp;Miki Usui,&nbsp;Motonori Nagata,&nbsp;Benson Kaluba,&nbsp;Tatsuya Sakamoto,&nbsp;Haruna Komatsubara,&nbsp;Koki Maeda,&nbsp;Toru Shinkai,&nbsp;Daisuke Noguchi,&nbsp;Takahiro Ito,&nbsp;Kazuyuki Gyoten,&nbsp;Takehiro Fujii,&nbsp;Yusuke Iizawa,&nbsp;Akihiro Tanemura,&nbsp;Yasuhiro Murata,&nbsp;Masashi Kishiwada,&nbsp;Shugo Mizuno","doi":"10.1111/ases.70022","DOIUrl":"10.1111/ases.70022","url":null,"abstract":"<p>Annular pancreas is a rare congenital anatomical anomaly, in which the pancreatic parenchyma surrounds the descending duodenum. Generally, annular pancreas is diagnosed on the basis of symptoms associated with complications of peptic ulcer, pancreatitis, cholelithiasis, and rarely, malignant tumors. Herein, we report an 84-year-old man for whom, during hospitalization for a urinary tract infection, pancreatic cystic lesions and an annular pancreas were noted incidentally on computed tomography. These findings led to a diagnosis of intraductal papillary mucinous neoplasms on further examination. He safely underwent robot-assisted pylorus-preserving pancreatoduodenectomy, with an operative time of 478 min and blood loss of 37 g. He was discharged on postoperative day 8 without postoperative complications. In conclusion, it is important to note that, in this case, intraductal papillary mucinous neoplasms were detected before they became malignant, and minimally invasive surgery was performed safely despite the anatomical anomaly of an annular pancreas.</p>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thoracoscopic Lobectomy for Right Upper Bronchial Atresia Combined With an Azygos Lobe of the Right Lower Lobe in an Infant Patient: A Case Report of a Rare Condition","authors":"Nanako Nishida,&nbsp;Keisuke Yano,&nbsp;Yumiko Tabata,&nbsp;Chihiro Kedoin,&nbsp;Ayaka Nagano,&nbsp;Toshio Harumatsu,&nbsp;Yudai Tsuruno,&nbsp;Masakazu Murakami,&nbsp;Koshiro Sugita,&nbsp;Shun Onishi,&nbsp;Koji Yamada,&nbsp;Waka Yamada,&nbsp;Takafumi Kawano,&nbsp;Satoshi Ieiri","doi":"10.1111/ases.70019","DOIUrl":"10.1111/ases.70019","url":null,"abstract":"<p>Bronchial atresia (BA) and azygos lobe (AL) are rare congenital pulmonary abnormalities in pediatric patients. We herein report an infantile case of BA combined with AL that was treated with thoracoscopic surgery. The patient was an 8-month-old boy who was preoperatively diagnosed with BA of the right upper lobe (RUL) combined with an AL using fetal magnetic resonance imaging and postnatal enhanced computed tomography. Thoracoscopic surgery using indocyanine green (ICG)-guided near-infrared fluorescence (NIRF) was performed for BA of the RUL. In the operative findings, the upper lobe bronchus was not recognized, and the pulmonary vessels of the RUL were confirmed using ICG-guided NIRF. The AL was connected to the right lower lobe (RLL). Partial RLL, including AL resection, was performed after RUL resection to prevent postoperative infections and torsion. The postoperative course was uneventful. Thoracoscopic surgery using ICG-guided NIRF was safely performed in an infant with a rare condition.</p>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11718429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}