Thoracoscopic segmentectomy for a large previously undiagnosed CPAM presenting as a spontaneous pneumothorax: A case report

Pairawan, Seyed; Tagge, Edward P.; Sacks, Marla A.; Hashmi, Asra; Radulescu, Andrei; Khan, Faroque A.

doi:10.1016/j.ijscr.2021.106412

Cited by 3 publications

(4 citation statements)

References 18 publications

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“…Controversy over the extent of surgery in instances of CPAM is ongoing, specifically whether removal of an entire lobe or a segment only (to preserve lung tissue) is appropriate [ 11 ]. Recent reports have shown that in patients with small and asymptomatic lesions, anatomic segmentectomy, as opposed to traditional lobectomy, does not heighten chances of residual or recurrent disease [ 12 , 19 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

“…In this particular case, where the cystic/consolidated lesion of RUL was well confined, anterior segmentectomy was a viable option. Pairawan and his colleagues recently published a case report of an anatomical superior segmentectomy for a patient with large CPAM without the use of ICG[ 12 ]. In our case, the injection of ICG certainly helped, and we were able to clearly delineate the intersegmental plane without difficulty [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

“…Modifications of conventional VATS approach, particularly use of fewer access ports and avoidance of postoperative chest-tube drainage, have also reduced the stress of pulmonary resection [ 9 , 10 ]. Still, the extent of surgery is currently under debate, deciding if full lobectomy is required, or whether segmental resection (to preserve lung tissue) will suffice [ 11 , 12 ]. Herein, we describe a 10-year-old child undergoing uniportal (single-port) VATS S3 anterior segmentectomy, without drainage tube placement, for asymptomatic CPAM.…”

Section: Introductionmentioning

confidence: 99%

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Uniportal video-assisted thoracoscopic anatomical resection of the right anterior pulmonary segment in a 10-year-old child with congenital pulmonary airway malformation

Ahn

Moon

2023

J Cardiothorac Surg

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Congenital pulmonary airway malformation (CPAM) is a very rare phenomenon subject to malignant transformation that requires surgical resection. In an asymptomatic 10-year-old girl, we identified a single cystic and consolidated lesion on computed tomography. This incidental finding was confined to anterior segment of lung in right upper lobe (RUL). Uniportal video-assisted thoracoscopic surgery (VATS) served to successfully achieve anterior segmentectomy, without chest tube placement. The surgical specimen confirmed features of CPAM, also showing acute and chronic inflammation with abscess formation. Once the surgical mainstay for such lesions, open lobectomy is now under challenge by thoracoscopic technique, port-reduction methods, and a lung-preserving strategy. Herein, we have shown uniportal VATS anatomical resection of right anterior pulmonary segment to be a viable option for a 10-year-old child with CPAM confined to a single lung segment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Uniportal video-assisted thoracoscopic anatomical resection of the right anterior pulmonary segment in a 10-year-old child with congenital pulmonary airway malformation

Ahn

Moon

2023

J Cardiothorac Surg

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show abstract

“…Controversy over the extent of surgery in instances of CPAM is ongoing, speci cally whether removal of an entire lobe or a segment only (to preserve lung tissue) is appropriate (9). Recent reports have shown that in patients with small and asymptomatic lesions, anatomic segmentectomy, as opposed to traditional lobectomy, does not heighten chances of residual or recurrent disease (16,18,19).…”

Section: Discussionmentioning

confidence: 99%

Uniportal video-assisted thoracoscopic complex segmentectomy in older child with incidental congenital pulmonary airway malformation and abscess: Case report

Ahn

Moon

2022

Preprint

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Congenital pulmonary airway malformation (CPAM) is a very rare phenomenon subject to malignant transformation that requires surgical resection. In an asymptomatic 10-year-old girl, we identified a single cystic and consolidated lesion on computed tomography of the neck. This incidental finding was confined to anterior segment of lung in right upper lobe (RUL). Uniportal video-assisted thoracoscopic surgery (VATS) served to successfully achieve anterior segmentectomy, without chest tube placement. The surgical specimen confirmed features of CPAM, also showing acute and chronic inflammation with abscess formation. Once the surgical mainstay for such lesions, open lobectomy is now under challenge by thoracoscopic technique, port-reduction methods, and a lung-preserving strategy. Herein, we have shown uniportal VATS complex segmentectomy to be a viable option for an older child with CPAM confined to a single lung segment.

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Right upper lobe pulmonary sequestration as a rare cause of recurrent spontaneous pneumothorax

Agafonov,

Petrov,

Atyukov

et al. 2024

Khir. Z. im. N.I. Pirogova

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Thoracoscopic segmentectomy for a large previously undiagnosed CPAM presenting as a spontaneous pneumothorax: A case report

Cited by 3 publications

References 18 publications

Uniportal video-assisted thoracoscopic anatomical resection of the right anterior pulmonary segment in a 10-year-old child with congenital pulmonary airway malformation

Uniportal video-assisted thoracoscopic anatomical resection of the right anterior pulmonary segment in a 10-year-old child with congenital pulmonary airway malformation

Uniportal video-assisted thoracoscopic complex segmentectomy in older child with incidental congenital pulmonary airway malformation and abscess: Case report

Right upper lobe pulmonary sequestration as a rare cause of recurrent spontaneous pneumothorax

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