Simultaneous unilateral thoracoscopic resection of bilateral pulmonary sequestration.
Bilateral pulmonary sequestration
Case report
Extra-lobar lung sequestration
Intra-lobar pulmonary sequestration
Thoracoscopic resection
Journal
BMC pediatrics
ISSN: 1471-2431
Titre abrégé: BMC Pediatr
Pays: England
ID NLM: 100967804
Informations de publication
Date de publication:
28 Sep 2024
28 Sep 2024
Historique:
received:
28
04
2024
accepted:
16
09
2024
medline:
29
9
2024
pubmed:
29
9
2024
entrez:
28
9
2024
Statut:
epublish
Résumé
Intra-lobar (ILS) and extra-lobar lung (ELS) sequestrations represent rare congenital lung malformations. Despite their benign nature, the lesions pose risks such as recurrent pulmonary infections, hemoptysis, congestive heart failure, and tumor development. Pulmonary sequestration (PS) typically manifests in two forms, ILS and ELS, with bilateral occurrence being exceptionally rare and mostly requiring bilateral thoracic surgery. A 9-year-old child, who initially presented with bilateral lung lesions without respiratory symptoms, was diagnosed with PS following a chest computed tomography scan. The surgical approach was determined based on the absence of inflammation and the clear demarcation of the lesions from normal lung tissue, highlighted by a unique tissue connection between the ILS and ELS across the chest cavities. We used a novel method wherein the left ELS was successfully pulled into the right chest cavity and both sequestrations were concurrently resected. Postoperative recovery was smooth, with no complications or residual lesions. Our findings highlight the importance of thorough preoperative planning with enhanced computed tomography. Simultaneous unilateral thoracoscopic surgery can be a viable, less invasive option for treating bilateral PS, offering benefits such as reduced recovery time and better cosmetic outcomes.
Sections du résumé
BACKGROUND
BACKGROUND
Intra-lobar (ILS) and extra-lobar lung (ELS) sequestrations represent rare congenital lung malformations. Despite their benign nature, the lesions pose risks such as recurrent pulmonary infections, hemoptysis, congestive heart failure, and tumor development. Pulmonary sequestration (PS) typically manifests in two forms, ILS and ELS, with bilateral occurrence being exceptionally rare and mostly requiring bilateral thoracic surgery.
CASE PRESENTATION
METHODS
A 9-year-old child, who initially presented with bilateral lung lesions without respiratory symptoms, was diagnosed with PS following a chest computed tomography scan. The surgical approach was determined based on the absence of inflammation and the clear demarcation of the lesions from normal lung tissue, highlighted by a unique tissue connection between the ILS and ELS across the chest cavities. We used a novel method wherein the left ELS was successfully pulled into the right chest cavity and both sequestrations were concurrently resected. Postoperative recovery was smooth, with no complications or residual lesions.
CONCLUSIONS
CONCLUSIONS
Our findings highlight the importance of thorough preoperative planning with enhanced computed tomography. Simultaneous unilateral thoracoscopic surgery can be a viable, less invasive option for treating bilateral PS, offering benefits such as reduced recovery time and better cosmetic outcomes.
Identifiants
pubmed: 39342249
doi: 10.1186/s12887-024-05083-5
pii: 10.1186/s12887-024-05083-5
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
604Subventions
Organisme : 2023 science and technology plan project of Jinan Health Commission
ID : 2023-2-129
Organisme : 2023 science and technology plan project of Jinan Health Commission
ID : 2023-2-129
Organisme : 2023 science and technology plan project of Jinan Health Commission
ID : 2023-2-129
Organisme : 2023 science and technology plan project of Jinan Health Commission
ID : 2023-2-129
Organisme : 2023 science and technology plan project of Jinan Health Commission
ID : 2023-2-129
Organisme : Shandong University Affiliated Children's Hospital High level scientific research projects
ID : SDFE-GCC2023005
Organisme : Shandong University Affiliated Children's Hospital High level scientific research projects
ID : SDFE-GCC2023005
Organisme : Shandong University Affiliated Children's Hospital High level scientific research projects
ID : SDFE-GCC2023005
Organisme : Shandong University Affiliated Children's Hospital High level scientific research projects
ID : SDFE-GCC2023005
Organisme : Shandong University Affiliated Children's Hospital High level scientific research projects
ID : SDFE-GCC2023005
Informations de copyright
© 2024. The Author(s).
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