| Autor: |
Pérez Egido L; Pediatric Surgery Department. Hospital Universitario Gregorio Marañón. Madrid (Spain)., García Casillas MA; Pediatric Surgery Department. Hospital Universitario Gregorio Marañón. Madrid (Spain)., Cerdá Berrocal JA; Pediatric Surgery Department. Hospital Universitario Gregorio Marañón. Madrid (Spain)., Del Cañizo López A; Pediatric Surgery Department. Hospital Universitario Gregorio Marañón. Madrid (Spain)., Ordóñez Pereira J; Pediatric Surgery Department. Hospital Universitario Gregorio Marañón. Madrid (Spain)., Bada Bosch I; Pediatric Surgery Department. Hospital Universitario Gregorio Marañón. Madrid (Spain)., de Agustín Asensio JC; Pediatric Surgery Department. Hospital Universitario Gregorio Marañón. Madrid (Spain). |
| Jazyk: |
English; Spanish; Castilian |
| Zdroj: |
Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica [Cir Pediatr] 2023 Jul 01; Vol. 36 (3), pp. 140-143. Date of Electronic Publication: 2023 Jul 01. |
| DOI: |
10.54847/cp.2023.03.15 |
| Abstrakt: |
Pediatric pneumonectomies are exceptional nowadays, being reserved for cases with destroyed lungs with frequent exacerbations and reinfections and only two cases of thoracoscopic pneumonectomy have been previously published. We present the case of a 4-year-old patient with no relevant history who developed complete atelectasis of the left lung (LL) after influenza A pneumonia, followed by secondary recurrent infections. A year later a diagnostic bronchoscopy without alterations was performed. A complete loss of volume and hypoperfusion of the LL (right lung perfusion 95%, LL perfusion: 5%) with bronchiectasis and hyperinsufflation and herniation of the right lung into the left hemithorax was observed in a pulmonary perfusion SPECT-CT. After unsuccessful conservative management and recurrent infections a pneumonectomy was indicated. The pneumonectomy was performed through a five-port thoracoscopy. The dissection of the hilum was made using hook electrocautery and sealing device. The left main bronchus was sectioned with an endostapler. There were no intraoperative complications. An endothoracic drain was removed the first postoperative day. The patient was discharged on the fourth postoperative day. The patient has not presented any complications 10 months after surgery. Although pneumonectomy is an exceptional surgery in children, it can be performed by minimally invasive surgery with success and safety in centers with extensive experience in pediatric thoracoscopic surgery. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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