Video-assisted thoracoscopic surgery for bilateral intralobar pulmonary sequestration

Area of Science:

• Thoracic Surgery
• Congenital Malformations
• Minimally Invasive Procedures

Background:

• Intralobar pulmonary sequestration (ILS) is a rare congenital anomaly involving aberrant systemic artery supply.
• Conventional treatment involves open thoracotomy and lobectomy, potentially compromising pulmonary function.
• Video-assisted thoracoscopic surgery (VATS) is emerging as a feasible alternative.

Purpose of the Study:

• To report a rare case of bilateral ILS treated with VATS.
• To demonstrate the safety and efficacy of VATS for ILS.
• To highlight the importance of lung function preservation in surgical planning.

Main Methods:

• A 30-year-old woman with bilateral ILS diagnosed via CT and 3D CT angiography.
• Staged VATS approach: segmentectomy for right ILS and wedge resection for left ILS.
• Aberrant blood supply identified from left gastric and celiac arteries.

Main Results:

• Successful surgical resection of bilateral ILS using a staged VATS approach.
• Preservation of pulmonary function was achieved.
• The patient experienced a successful outcome.

Conclusions:

• Limited resection via VATS for bilateral ILS is safe and effective.
• VATS offers a minimally invasive option for ILS treatment.
• Careful surgical planning is crucial for preserving respiratory function in bilateral ILS.