Indications for pulmonary lobectomy in infants and children include cystic pulmonary adenomatoid malformation, congenital lobar emphysema, chronic infection, and malignancy. These procedures can now all be done thoracoscopically avoiding the short- and long-term morbidity of an open thoracotomy. In this article we describe the technique of thoracoscopic lobectomy as well as the preoperative and postoperative care.
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References
1.
RothenbergSS, CromblehomeTM, Congenital lung malformations. In: Ziegler A, Weber VA (eds). Operative Pediatric Surgery, 2nd edition. McGraw Hill, New York, 2014.
2.
RothenbergSS. First decades experience with thoracoscopic lobectomy in infants and children. J Pediatr Surg, 2008; 43:40–44.
DiamondIR, HerreraP, LangerJC, KimPC. Thoracoscopic versus open resection of congenital lung lesions: A case matched study. J Peditr Surg, 2007; 42:1057–1061.
5.
RothenbergSS, MiddlesworthWE, et al.Two decades of experience with thoracoscopic lobectomy in infants and children: Standardizing techniques for advanced thoracoscopic surgery. J Laproendosc Adv Surg Tech A, 2015; 25:423–428.
6.
BonnardA. Thoracoscopic lobectomy for congenital pulmonary airway malformation: Where are we in 2019?. Eur J Pediatr Surg, 2020; 30:146–149.
7.
LawalTA, GosemannJH, KueblerJF, GluerS, UreBM. Thoracoscopy versus thoracotomy improves midterm musculoskeletal status and cosmesis in infants and children. Ann Thorac Surg, 2009; 87:224–228.
8.
YoshidaK, ToishiM, EguchiT, SaitoG, ShiinaT, KondoR, AmanoJ. Feasibility of using a vessel sealing system in a human pulmonary lobectomy: A retrospective comparison of this procedure with or without a vessel sealing system. Ann Thorac Cardiovasc Surg, 2014; 20:353–358.
9.
RothenbergS. Thoracoscopic lobectomy in infants and children utilizing a 5 mm stapling device. J Laparoendosc Adv Surg Tech A, 2016; 26:1036–1038.
10.
RothenbergSS, KuenzlerK, MiddlesworthW, KayS, YoderS, ShipmanK, RodriguezR, StolarC. Thoracoscopic lobectomy in infants <10 kg with prenatally diagnosed cystic lung disease. J Laproendoscop Adv Surg Tech, 2011; 21:181–184.
11.
FingeretA, GarciaA, BorczukAC, RothenbergSS, AspelundG. Thoracoscopic lobectomy for type 1 pleuropulmonary blastoma in an infant. Pediatr Surg Int, 2014; 30:239–242.
