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Updated: May 18, 2026

Robotic-assisted Left Pneumonectomy For Vanishing Lung Syndrome
Published on: January 23, 2026
Congenital malformation of lung parenchyma: 15 years experience in a thoracic surgical unit
R K Dewan1, E B Kesieme, A Sisodia
1Department of Thoracic Surgery, LRS Institute of Tuberculosis and Respiratory Diseases, New Delhi, India. ravindrakdewan@rediffmail.com
Insights
Surgery for congenital lung malformations offers a curative solution with excellent long-term outcomes. This therapeutic option is recommended for indicated and feasible cases in pediatric thoracic surgery.
Area of Science:
- Pediatric Thoracic Surgery
- Congenital Pulmonary Malformations
- Surgical Management
Background:
- Congenital malformations of lung parenchyma require surgical intervention.
- Effective management strategies are crucial for pediatric patients.
Purpose of the Study:
- To review the surgical management of congenital lung parenchyma malformations.
- Evaluate outcomes over a 15-year period in a thoracic surgery unit.
Main Methods:
- Retrospective analysis of patient records from 1995 to 2010.
- Inclusion of all patients undergoing surgery for congenital lung lesions.
Main Results:
- 45 patients with lung lesions underwent surgery.
- Common lesions included lung sequestrations and bronchogenic cysts.
- No mortality was observed; one patient had a managed esophageal fistula.
Conclusions:
- Surgical intervention is curative for congenital lung malformations.
- Good long-term results are achievable with surgical management.
- Surgery should be considered a viable therapeutic option when indicated.
Objective:
To review the surgical management of congenital malformations of lung parenchyma in a thoracic surgery unit over a period of 15 years.
Methods:
We carried out a retrospective analysis of records of all patients who had surgery for congenital malformations of lung parenchyma between 1995 and 2010.
Results:
Forty-five patients underwent surgery for congenital lung lesions out of 3735 thoracotomies performed during the study period. The lesions included 29 lung sequestrations, 12 bronchogenic cysts, 3 congenital lobar emphysema and one congenital cystic adenomatoid malformation. Only 26 (26%) cases were diagnosed preoperatively. Twenty-eight (62.2%) patients underwent lobectomy, 5 (11.1%) patients had pneumonectomy, and 10 (22.2%) patients had removal of cyst while 2 (0.45%) patients had lung resection with repair of the oesophageal connection. No mortality was recorded. One patient had post-operative complication of oesophageal fistula which was successfully managed conservatively. The follow-up was between 8 months to 14 years. All patients were asymptomatic and had no physical limitations during the follow-up.
Conclusions:
Surgery is curative and produces good long-term result in patients with congenital malformations of lung parenchyma. It should be offered to patients as a therapeutic option where indicated and feasible.
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