title: [Bronchoplastic surgery: tumorectomy in principal left bronchial tube in a 5-month old child].
abstract: BACKGROUND
  Resection of bronchial tumors usually needs resection of the lung parenchyma ventilated by the ill bronchus. Surgery over a developing child must preserve the biggest amount of lung parenchyma as possible. We show a complete resection of a benign tumor from the left main-stem bronchus, without pneumonectomy.
  
  
  METHODS
  Case report
  
  
  RESULTS
  A 5 month girl presented with left hypoventilation. No significant previous dates. After bronchoscopy (with negative biopsy), chest radiograph and CT, she was diagnosed of a tumor in the mainstem left bronchus (20 x 15 mm) without metastatic extension. A sleeve resection of the tumor, with carinal reconstruction was performed. It was done under unipulmonary ventilation, with selective bronchial intubation. The patient was extubated in the operating room and the hospital stay was of 5 days. Follow up bronchoscopies shows no anastomotic stricture neither leakage. The patient is doing well 2 years after surgery.
  
  
  CONCLUSIONS
  With this report and others in literature we can say that is possible to resect bronchial tumors in infancy without parenchymal resections.
authors.affiliation: UGC Cirugía Pediátrica, Hospital Infantil Universitario Virgen del Rocío, Sevilla.
authors.forename: J C
authors.initials: JC
authors.lastname: de Agustín
authors.forename: J
authors.initials: J
authors.lastname: Morcillo
authors.forename: A
authors.initials: A
authors.lastname: Millán
authors.forename: I
authors.initials: I
authors.lastname: Tuduri
authors.forename: R
authors.initials: R
authors.lastname: Granero
authors.forename: S
authors.initials: S
authors.lastname: Pérez Bertólez
mesh_terms: D001980:Bronchi / Q000601:surgery*; D001984:Bronchial Neoplasms / Q000473:pathology* / Q000601:surgery*; D001999:Bronchoscopy; D005260:Female; D006801:Humans; D007223:Infant; D009379:Neoplasms, Muscle Tissue / Q000473:pathology* / Q000601:surgery*