Thoracoscopic pneumonectomy for severe bronchiectasis in a 9-year-old female.
J Laparoendosc Adv Surg Tech A
; 18(5): 775-7, 2008 Oct.
Article
em En
| MEDLINE
| ID: mdl-18699753
ABSTRACT
INTRODUCTION:
Thoracoscopic total pneumonectomy has not been previously described in the pediatric surgical literature. In this paper, we describe a case of pneumonectomy performed through a minimally invasive approach in a 9-year-old female with Down's syndrome and gastroesophageal reflux disease. CASE REPORT The patient suffered from multiple recurrent aspiration pneumonias, which progressed to bronchiectasis of the entire left lung. As a result, the patient was hypoxemic and required continuous supplemental oxygen. Preoperative perfusion scans showed diminished perfusion of the left lung. Thoracoscopy was performed by using 3-5 mm trocars and one 12-mm trocar. Insufflation pressure was maintained at 5 mm Hg. Dissection was performed at the hilum by using hook electrocautery and the LigaSure device (ValleyLab, Boulder, CO). The pulmonary artery, veins, and left mainstem bronchus were sequentially divided by using a 35-mm ENDO GIA vascular stapler (Ethicon Endo-Surgery, Cincinnati, OH). There were no intraoperative complications. Eight months following surgery, her health is improved and she no longer requires supplemental oxygen.CONCLUSION:
Thoracoscopic pneumonectomy is a safe, technically feasible approach for severe bronchiectasis in children.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pneumonectomia
/
Toracoscopia
/
Bronquiectasia
Limite:
Child
/
Female
/
Humans
Idioma:
En
Revista:
J Laparoendosc Adv Surg Tech A
Ano de publicação:
2008
Tipo de documento:
Article
País de afiliação:
Estados Unidos