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Intradiaphragmatic pulmonary sequestrations: a surgical challenge. Case series
Chiara Oreglio1,2, Francesca Tocchioni2, Marco Ghionzoli3,4
1Department of Neuroscience, Psychology, Drug Research and Child Health (NEUROFARBA), University of Florence, Florence, Italy.
Frontiers in Surgery
|June 12, 2023
Summary
Intradiaphragmatic extralobar bronchopulmonary sequestrations (IDEPS) are rare congenital lung anomalies. Surgical management is challenging, but thoracoscopic approaches are feasible and effective for these rare cases.
Area of Science:
- Pediatric Surgery
- Thoracic Surgery
- Congenital Anomalies
Background:
- Bronchopulmonary sequestrations (BPSs) are rare congenital lung malformations with anomalous blood supply.
- Intradiaphragmatic extralobar BPSs (IDEPS) are exceptionally rare, posing diagnostic and surgical challenges.
Observation:
- Three cases of IDEPS treated between 2016 and 2022 were retrospectively analyzed.
- Diverse surgical techniques were employed, including open thoracotomy and combined thoracoscopic-laparoscopic approaches.
- Histopathological analysis revealed hybrid features of congenital pulmonary airway malformation (CPAM) and BPS.
Findings:
- IDEPS present significant surgical planning complexities for pediatric surgeons.
- Thoracoscopic approaches are safe and feasible for IDEPS when performed by experienced surgeons.
- A combined thoracoscopic-laparoscopic approach facilitates optimal vascular control.
Implications:
- The presence of CPAM elements supports the necessity of surgical removal for IDEPS.
- Further research is needed to better characterize IDEPS and optimize their management strategies.
- This study contributes valuable insights into the surgical management of rare IDEPS cases.
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