On March 2nd, Binh Dan Hospital said that the unit had just successfully performed a case of robot surgery to cut the lower lower lobe of the left lung to treat lobe-independent pulmonary disease. This is also the first case of lobe-independent lung treated with robot surgery reported in Vietnam.
Rare clinical case
Mr. N.N.T (56 years old, Tay Ninh) accidentally discovered damage to the lower left lobe of his lung when going for a general examination. Doctors diagnosed him with end-lobe pulmonary isolation with a volume of 23 × 26 mm. Notably, this mass-feeding artery originates directly from the aorta downwards with a diameter of up to 17 mm.
MSc.BS. CKII Nguyen Van Viet Thanh - Head of Thoracic Surgery - Oncology Department of Binh Dan Hospital said that the biggest difficulty is dissection of this nourishing artery branch. This blood vessel is large, easily broken and very adhesive due to chronic infection around it. A small mistake can also lead to uncontrollable bleeding incidents. The entire hospital consultation decided to choose robot surgery.
The surgery took about 120 minutes and was carried out smoothly according to the plan. The isolated lung was completely removed without damaging the downward thoracic aorta, without bleeding complications.
With robot surgery, patients experience much less pain, reduce blood loss and shorten hospital stay. Mr. T recovered quickly and was discharged early after only 4 days of surgery.
Disease that poses a risk of death at any time
According to Binh Dan Hospital, isolated lungs (Bronchopulmonary Sequestration - BPS) are a rare congenital defect, accounting for only about 0.15% to 6.4% of lung defects. There are 2 forms of isolated lungs: end-lung (75%) and extra-lung (25%). The common location of isolated lungs is usually in the lower left lung.
The most dangerous feature of isolated lungs is the blood source that nourishes them. Instead of receiving blood from the pulmonary artery as usual, this tissue mass "addles" directly to the systemic arteries - usually the thoracic aorta or abdominal aorta. If not detected and treated promptly, this isolated lung mass can cause the patient to die at any time.
Although it is a rare congenital disease with a rate of onset 3 times higher in men than in women, isolated lungs can be completely treated if detected early. Surgery is the only treatment, especially when complications of infection or bleeding have not occurred.
With the success of the first robot-assisted lung isolation treatment at Binh Dan Hospital, Vietnamese people can now access modern medical technology right in the country.
If a person has symptoms such as recurrent pneumonia in one location, coughing up blood, or accidentally discovering abnormal masses in the lungs, go to specialized medical facilities for screening.
