CC-BY 4.0 · European J Pediatr Surg Rep 2018; 06(01): e11-e14
DOI: 10.1055/s-0037-1612611
Case Report
Georg Thieme Verlag KG Stuttgart · New York

One-Stage Laparoscopic Surgery for Pulmonary Sequestration and Hiatal Hernia in a 2-Year-Old Girl

Hisayuki Miyagi1, Shohei Honda1, Hiromi Hamada2, Masashi Minato1, Momoko W. Ara1, Akinobu Taketomi1
  • 1Department of Gastroenterological Surgery I, Hokkaido University Graduate School of Medicine, Kita-ku, Kita 15, Nishi 7, Sapporo, Japan
  • 2Department of Pediatric Surgery, Hokkaido Medical Center for Child Health and Rehabilitation, Teine-ku, Kanayama 1-1, Sapporo, Japan
Further Information

Publication History

21 August 2017

02 November 2017

Publication Date:
08 January 2018 (online)


We herein report a case of one-stage laparoscopic surgery for extralobar pulmonary sequestration (EPS) and hiatal hernia. Our patient was a 2-year-old girl who was diagnosed as a mediastinal mass lesion. Postnatal computed tomography revealed that the mediastinal mass was an EPS. Two weeks after birth, the patient developed gastroesophageal reflux (GER), and esophagography showed a hiatal hernia. At 2 years of age, she underwent one-stage laparoscopic Nissen's fundoplication for GER with resection of the EPS in the posterior mediastinum. The sequestrated lung was grasped via the esophageal hiatus; three aberrant blood vessels were dissected to allow removal of the sequestration through the umbilical port site. The esophageal hiatus was repaired and Nissen's fundoplication was performed laparoscopically. The patient's postoperative course was uneventful, with no recurrence of GER symptoms for 1 year. We conclude that one-stage laparoscopic surgery is useful for patients with EPS and hiatal hernia.



Ethical Approval

Written informed consent was obtained from the patient's parents for publication of this case report and accompanying images. A copy of this written consent is available for review by the editor-in-chief of this journal on request.