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Abu Akar et al. Mini-invasive Surg 2020;4:25 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2019.66

Technical Note Open Access

Uniportal video assisted thoracoscopic left upper
bronchial sleeve lobectomy in a pediatric patient

Firas Abu Akar , Bisanne Shaqqura , Nisreen Rumman , Konstantinos Marios Soultanis
1
1
2
3
1 Department of Cardiothoracic Surgery, Makassed Charitable Society Hospital, East Jerusalem, Palestine.
2 Department of Pediatrics, Makassed Charitable Society Hospital, East Jerusalem, Palestine.
3 Department of Thoracic Surgery, 251 Hellenic Airforce General Hospital, Athens 11525, Greece.
Correspondence to: Firas Abu Akar, Department of Cardiothoracic Surgery, Al-Makassed Charitable Society Hospital, East
Jerusalem, Affiliated to Al-Quds University School of Medicine, Jerusalem 97103, Palestine. E-mail: firasabuakar@gmail.com
How to cite this article: Abu Akar F, Shaqqura B, Rumman N, Soultanis KM. Uniportal video assisted thoracoscopic left upper
bronchial sleeve lobectomy in a pediatric patient. Mini-invasive Surg 2020;4:25. http://dx.doi.org/10.20517/2574-1225.2019.66
Received: 25 Dec 2019 First Decision: 24 Feb 2020 Revised: 1 Apr 2020 Accepted: 17 Apr 2020 Published: 11 May 2020

Science Editor: Noriyoshi Sawabata Copy Editor: Jing-Wen Zhang Production Editor: Jing Yu

Abstract
Endo-bronchial tumors are sporadic in the pediatric population. Pneumonectomy is rarely indicated and best to
be avoided if possible due to the morbidity it may cause. In children, preserving as much of the lung parenchymal
tissue as possible is crucial and maintaining the integrity of the "still maturing" chest wall may reduce the risk of
developing scoliosis and chest deformities in the future. The integration of minimally invasive surgical techniques
and parenchymal sparing procedures rep-resents the best possible outcome for these patients. Of course,
oncological principles should be re-spected when such a procedure is performed. We present the first report
in the literature of a "left" upper lobe sleeve resection in an 8 year old patient via a single port video-assisted
thoracoscopic surgery technique.

Keywords: Uniportal video-assisted thoracoscopic surgery in pediatrics, minimally invasive thoracic surgery in
children, video-assisted thoracoscopic surgery sleeve lobectomy in pediatrics, pediatric thoracic surgery, bronchial
carcinoid tumour in pediatrics, uniportal video-assisted thoracoscopic surgery sleeve lobectomy

INTRODUCTION
Thoracic surgery has recently undergone significant transformation and evolution. The traditional (open)
thoracotomy has started to lose its popularity and thoracoscopic surgeries have started to gain interest
amongst most surgeons. This is largely because of the benefits in reducing the proportion of postoperative

© The Author(s) 2020. Open Access This article is licensed under a Creative Commons Attribution 4.0
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