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CC BY 4.0 · European J Pediatr Surg Rep. 2017; 05(01): e21-e25
DOI: 10.1055/s-0037-1603592
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Anatomical Segmentectomy with a Hybrid VATS Approach in a Patient with Intralobar Pulmonary Sequestration after Severe Pneumonia: A Case Report

Soichi Shibuya
1   Department of Pediatric General and Urogenital Surgery, Juntendo University, Tokyo, Japan
2   Department of Pediatric Surgery, Seirei Hamamatsu General Hospital, Hamamatsu, Shizuoka, Japan
,
Toru Nakamura
3   Department of Thoracic Surgery, Seirei Hamamatsu General Hospital, Hamamatsu, Shizuoka, Japan
,
Eiji Miyazaki
2   Department of Pediatric Surgery, Seirei Hamamatsu General Hospital, Hamamatsu, Shizuoka, Japan
› Author Affiliations
Further Information

Publication History

20 December 2016

24 April 2017

Publication Date:
04 July 2017 (online)

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Abstract

Anatomical segmentectomy is an advantageous procedure because it spares healthy lung that has potential to show compensatory growth after lung resection and decreases the risk of air leak and residual resection, which becomes a problem in wedge resection. However, anatomical segmentectomy has not become a common procedure in pediatrics because it requires more complicated procedure than lobectomy or wedge resection, especially in patients with a history of pulmonary infection. In this case report, anatomical basal segmentectomy was safely performed with magnified vision by a hybrid video-assisted thoracic surgery (VATS) approach in a 6-year-old girl with intralobar pulmonary sequestration after severe pneumonia. The result suggests that the indications for hybrid VATS segmentectomy can expand further to include segmental lesions in children.

Keywords

pulmonary sequestration - anatomical segmentectomy - video-assisted thoracic surgery
 

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