Thoracoscopic segmentectomy for intralobar sequestration in adult: a case report

Area of Science:

• Thoracic Surgery
• Pulmonary Medicine
• Surgical Oncology

Background:

• Intralobar sequestration (ILS) is typically treated with surgical resection, often involving a lobectomy.
• A segmentectomy may be sufficient for benign ILS cases if the sequestration is fully contained within a lung segment.

Purpose of the Study:

• To evaluate the feasibility and efficacy of thoracoscopic segmentectomy for intralobar sequestration in an adult patient.

Main Methods:

• A 36-year-old female with ILS underwent a thoracoscopic sublobar resection of left segment 10.
• Preoperative imaging (CT) identified cystic lesions and abnormal vasculature. The procedure involved removing the sequestration within the defined segment.

Main Results:

• The thoracoscopic segmentectomy was successfully performed with a minimally sized incision.
• Postoperative recovery was uneventful, with CT scans at 2 years showing good lung expansion and stable respiratory function.

Conclusions:

• Thoracoscopic segmentectomy is a feasible and effective procedure for select cases of intralobar sequestration in adults.
• This approach can be beneficial even in patients with a history of repeated inflammation, preserving lung function.