title: Uniportal video-assisted thoracoscopic right upper sleeve lobectomy and tracheoplasty in a 10-year-old patient.
abstract: Tracheobronchial pediatric tumors are very rare and procedures like pneumonectomy are seldomly indicated due to the associated morbidity. If a surgical approach is considered, the ideal oncological technique would be the minimally invasive sleeve resection, allowing preservation of lung parenchyma (very important in pediatric patients). Here we present the first report of a thoracoscopic right upper tracheo-bronchial sleeve lobectomy in a pediatric patient. A 10-year-old female patient, who received multiple antibiotic treatments for recurrent pneumonia without improvement, was diagnosed with a right upper lobe (RUL) carcinoid tumor. The patient was proposed for uniportal thoracoscopic surgery. The patient was placed in a lateral decubitus position and a single 3 cm incision was performed at the anterior level of 4thintercostal space. A right upper lobectomy with a tracheo-bronchial sleeve resection using the uniportal technique was successfully performed. The postoperative course was uneventful and the patient was discharged home on the 7thpostoperative day. The bronchoscopic control showed excellent caliber of the anastomosis with no complications. The uniportal video-assisted thoracoscopic surgery (VATS) approach is an excellent option for endobronchial tumor management in pediatric patients, offering a quick recovery and low morbidity. The performance of a thoracoscopic sleeve anastomosis in young patients is crucial and should only be performed by very experienced thoracoscopic surgeons.
authors.affiliation: Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, Coruña, Spain; ; Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China.
authors.forename: Diego
authors.initials: D
authors.lastname: Gonzalez-Rivas
authors.affiliation: Department of General Surgery, Valley University, Cali, Colombia.
authors.forename: Jessica Correa
authors.initials: JC
authors.lastname: Marin
authors.affiliation: Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, Coruña, Spain.
authors.forename: Juan Pablo Ovalle
authors.initials: JP
authors.lastname: Granados
authors.affiliation: Department of Orthopedic and Trauma, Valley University, Cali, Colombia.
authors.forename: Juan David Urrea
authors.initials: JD
authors.lastname: Llano
authors.affiliation: Department of General Surgery, Salvadoran Social Security Institute, San Salvador, El Salvador.
authors.forename: Sonia Roque
authors.initials: SR
authors.lastname: Cañas
authors.affiliation: Department of General Surgery, Salvadoran Social Security Institute, San Salvador, El Salvador.
authors.forename: Alonso Oviedo
authors.initials: AO
authors.lastname: Arqueta
authors.affiliation: Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, Coruña, Spain.
authors.forename: Mercedes
authors.initials: M
authors.lastname: de la Torre
keywords: Carcinoid tumor; bronchoplasty; single-port; sleeve lobectomy; tracheal reconstruction; uniportal