On April 14th, Da Nang Hospital announced that doctors from the Thoracic Surgery Department had successfully performed an endoscopic resection of an isolated lung mass on a 57-year-old male patient.
This is a rare congenital condition, seldom diagnosed in adults. Patient Nguyen TK (57 years old, residing in Hoa Tho Dong ward, Cam Le district, Da Nang city) discovered the lesion in the lower lobe of the left lung incidentally during a general health check-up. Twenty years ago, the patient had pneumonia, which was treated successfully, but currently experiences frequent radiating pain in the left lower back.
At Da Nang Hospital, a CT scan of the patient's chest with vascular reconstruction revealed a lesion in the lower lobe of the left lung, measuring 32x45mm, with direct blood supply from the thoracic aorta, approximately 11mm in diameter, draining directly into the left inferior pulmonary vein. The patient was diagnosed by the doctor with an isolated pulmonary mass in the lower lobe of the left lung.
Thoracic Surgery doctors performed a resection of the isolated lung segment using a two-port thoracoscopic technique, minimizing trauma to the patient's chest wall. After two hours, the doctors successfully removed the isolated lung segment along with a portion of the parenchyma of the left lung lobe, preserving as much of the remaining lung parenchyma of the lower lobe as possible instead of removing the entire lobe.
Dr. Than Trong Vu, Head of the Thoracic Surgery Department at Da Nang Hospital, who directly performed the surgery on the patient, said that this case was quite complex because the pulmonary artery supplying the lung was large and isolated. The patient was elderly, increasing the risk of brittle arterial walls and bleeding, requiring absolute caution during surgery. Currently, the patient is stable and preparing for discharge.
According to Dr. Than Trong Vu, isolated lung is a rare congenital condition, accounting for 0.1% of all congenital lung lesions. The condition is usually diagnosed in early childhood. In adults, isolated lung is rarely diagnosed. The progression of isolated lung can lead to recurrent pneumonia, lung abscess, cancer, severe bleeding, life-threatening complications, and heart failure due to increased cardiac output.
"This patient's case highlights the crucial role of regular health checkups, not only for screening common illnesses but also for detecting potential congenital abnormalities, enabling early diagnosis and treatment to avoid possible complications," Dr. Vu advised.
Source: https://www.vietnamplus.vn/da-nang-phau-thuat-thanh-cong-ca-benh-ly-phoi-biet-lap-hiem-gap-post1027700.vnp
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