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Pulmonary lobectomy techniques in infants and children

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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.

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Authors and Affiliations

  1. Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, Tokyo, Japan

    Atsuyuki Yamataka, Hiroyuki Koga, Takanori Ochi & Geoffrey Lane

  2. Department of General Thoracic Surgery, Juntendo University School of Medicine, Tokyo, Japan

    Kota Imashimizu & Kenji Suzuki

  3. Department of Radiology, Juntendo University School of Medicine, Tokyo, Japan

    Kazuhiro Suzuki & Ryohei Kuwatsuru

  4. Department of Anesthesiology and Pain Medicine, Juntendo University School of Medicine, Tokyo, Japan

    Kinya Nishimura & Eiichi Inada

Authors
  1. Atsuyuki Yamataka
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  2. Hiroyuki Koga
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  3. Takanori Ochi
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  4. Kota Imashimizu
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  5. Kazuhiro Suzuki
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  6. Ryohei Kuwatsuru
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  7. Geoffrey Lane
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  8. Kinya Nishimura
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  9. Eiichi Inada
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  10. Kenji Suzuki
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Corresponding author

Correspondence to Atsuyuki Yamataka.

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Yamataka, A., Koga, H., Ochi, T. et al. Pulmonary lobectomy techniques in infants and children. Pediatr Surg Int 33, 483–495 (2017). https://doi.org/10.1007/s00383-016-4052-5

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  • DOI: https://doi.org/10.1007/s00383-016-4052-5

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