Thoracoscopic lobectomy for prenatally diagnosed lung lesions

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

“…Resistance to pressure was found to be independent of the diameter (less than 9 mm). Albanese, et al 4) have reported a successful experience with infant pulmonary vein sealing using only VSS. Schuchert and colleagues have also reported successful anatomic lung resection in 316 cases using a Ligasure.…”

“…3) Albanese, et al have reported the use of thoracoscopic lobectomy for prenatant patients, in which the main pulmonary vessels were successfully sealed using VSS. 4) Few clinical and experimental cases of a human anatomic pulmonary lobectomy have been reported to date. 5,6) Additionally, very few comparisons of peri-operative data from VSS treatments and conventional procedures using an electrocautery device and manual ligature have been documented for human pulmonary lobectomies.…”

Pulmonary sequestration children: is the thoracoscopic approach a good option?

“…Two approachs have been described: the conventional method via a thoracotomy and the laparoscopic one. Although the laparoscopic procedure has been shown to be feasible without entailing higher morbidity [1,4,5,7], it has not been demonstrated to have clear advantages over, the conventional technique. The aim of this study was to establish the advantages of the mini-invasive approach to the management of pulmonary sequestration.…”

Bronchogenic cyst of the lung mimicking a pulmonary hydatid cyst in a child

“…The most common antenatally diagnosed lesions within the fetal thorax are cystic lung lesions [3]. This term principally includes three classic entities: congenital cystic adenomatoid malformation, pulmonary sequestration, and bronchogenic cyst.…”

“…It remains controversial whether and when surgery is indicated in the asymptomatic neonate. Classically, early elective resection is recommended in asymptomatic neonates because of the low morbidity and mortality, the elimination of the need for lifelong surveillance, and the ongoing risks of late infection and malignant transformation [3]. Some investigators even recommend delaying surgery until the age of 6 months in order to confidently document a postnatal disappearance of a cystic lung lesion [8].…”