title: Pulmonary lobectomy techniques in infants and children.
abstract: Thoracoscopic pulmonary lobectomy (TPL) techniques in infants and children are presented practically with concise descriptions and numerous illustrations. TPL is the treatment of choice for congenital pulmonary airway malformation and intralobar pulmonary sequestration, both now commonly diagnosed prenatally. Timing of surgery is somewhat controversial in asymptomatic cases with small isolated lesions. Incomplete fissures and history of chest infections are most problematic. Thorough understanding of anatomic relations preoperatively is vital for successful outcome and thin-slice computed tomography with 3D reconstruction of vessels is valuable. Judicious placement of trocars and switching instruments between trocars improves visualization and safety. Specific techniques for all commonly performed TPL are included.
authors.affiliation: Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, Tokyo, Japan. yama@juntendo.ac.jp.
authors.forename: Atsuyuki
authors.initials: A
authors.lastname: Yamataka
authors.affiliation: Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, Tokyo, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Koga
authors.affiliation: Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, Tokyo, Japan.
authors.forename: Takanori
authors.initials: T
authors.lastname: Ochi
authors.affiliation: Department of General Thoracic Surgery, Juntendo University School of Medicine, Tokyo, Japan.
authors.forename: Kota
authors.initials: K
authors.lastname: Imashimizu
authors.affiliation: Department of Radiology, Juntendo University School of Medicine, Tokyo, Japan.
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Suzuki
authors.affiliation: Department of Radiology, Juntendo University School of Medicine, Tokyo, Japan.
authors.forename: Ryohei
authors.initials: R
authors.lastname: Kuwatsuru
authors.affiliation: Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, Tokyo, Japan.
authors.forename: Geoffrey
authors.initials: G
authors.lastname: Lane
authors.affiliation: Department of Anesthesiology and Pain Medicine, Juntendo University School of Medicine, Tokyo, Japan.
authors.forename: Kinya
authors.initials: K
authors.lastname: Nishimura
authors.affiliation: Department of Anesthesiology and Pain Medicine, Juntendo University School of Medicine, Tokyo, Japan.
authors.forename: Eiichi
authors.initials: E
authors.lastname: Inada
authors.affiliation: Department of General Thoracic Surgery, Juntendo University School of Medicine, Tokyo, Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Suzuki
mesh_terms: D001998:Bronchopulmonary Sequestration / Q000601:surgery; D002648:Child; D015615:Cystic Adenomatoid Malformation of Lung, Congenital / Q000601:surgery; D006801:Humans; D007223:Infant; D008168:Lung / Q000000981:diagnostic imaging; D056888:Patient Positioning; D011013:Pneumonectomy / Q000379:methods*; D011182:Postoperative Care; D017792:Surgical Stapling / Q000295:instrumentation / Q000379:methods; D013906:Thoracoscopy / Q000379:methods*
keywords: Congenital cystic lung disease; Congenital pulmonary airway malformation; Pulmonary lobectomy; Sequestration; Thoracoscopic surgery