Intradiaphragmatic pulmonary sequestrations: a surgical challenge. Case series
Bronchopulmonary sequestrations (BPSs) are rare congenital anomalies characterized by non-functioning embryonic lung tissue receiving anomalous blood supply. They are most commonly located within the thorax (supradiaphragmatic) or into the abdominal cavity (infradiaphragmatic). Intradiaphragmatic ex...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-05-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1181007/full |
| _version_ | 1797820550089801728 |
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| author | Chiara Oreglio Chiara Oreglio Francesca Tocchioni Marco Ghionzoli Marco Ghionzoli Annamaria Buccoliero Antonino Morabito Antonino Morabito Francesco Morini Francesco Morini |
| author_facet | Chiara Oreglio Chiara Oreglio Francesca Tocchioni Marco Ghionzoli Marco Ghionzoli Annamaria Buccoliero Antonino Morabito Antonino Morabito Francesco Morini Francesco Morini |
| author_sort | Chiara Oreglio |
| collection | DOAJ |
| description | Bronchopulmonary sequestrations (BPSs) are rare congenital anomalies characterized by non-functioning embryonic lung tissue receiving anomalous blood supply. They are most commonly located within the thorax (supradiaphragmatic) or into the abdominal cavity (infradiaphragmatic). Intradiaphragmatic extralobar BPs (IDEPS) are an exceptionally rare finding, representing a diagnostic and operative challenge. We report three cases of IDEPS and their surgical management, describing our experience and approach to such rare clinical entities. From 2016 to 2022, we treated 3 cases of IDEPS. Surgical techniques, histopathological findings and clinical outcomes were retrospectively evaluated for each case and compared. Three different surgical techniques were used to approach each lesion, from open thoracotomy to a combined laparoscopic and thoracoscopic approach. Histopathological analysis of the specimens revealed hybrid pathological features, proper of both congenital pulmonary airway malformation (CPAM) and extralobar pulmonary sequestration. IDEPS represent a surgical challenge for pediatric surgeons, given their complex surgical planning. In our experience, the thoracoscopic approach is safe and feasible when performed by trained surgeons, even though a combined thoracoscopic-laparoscopic approach allows for optimal vessels control. The presence of CPAM elements within the lesions supports their surgical removal. Additional studies are required to better characterize IDEPS and their management. |
| first_indexed | 2024-03-13T09:40:02Z |
| format | Article |
| id | doaj.art-f1b462cf409b4473911d44d6924eceb5 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-03-13T09:40:02Z |
| publishDate | 2023-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-f1b462cf409b4473911d44d6924eceb52023-05-25T04:27:55ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-05-011010.3389/fsurg.2023.11810071181007Intradiaphragmatic pulmonary sequestrations: a surgical challenge. Case seriesChiara Oreglio0Chiara Oreglio1Francesca Tocchioni2Marco Ghionzoli3Marco Ghionzoli4Annamaria Buccoliero5Antonino Morabito6Antonino Morabito7Francesco Morini8Francesco Morini9Department of Neuroscience, Psychology, Drug Research and Child Health (NEUROFARBA), University of Florence, Florence, ItalyDepartment of Pediatric and Neonatal Surgery, Meyer Children’s Hospital IRCCS, Florence, ItalyDepartment of Pediatric and Neonatal Surgery, Meyer Children’s Hospital IRCCS, Florence, ItalyDepartment of Pediatric and Adolescent Surgery, University of Pisa, Pisa, ItalyDepartment of Surgical, Medical, Molecular Pathology and of the Critic Area, University of Pisa, Pisa, ItalyDepartment of Pathology, Meyer Children’s Hospital IRCCS, Florence, ItalyDepartment of Neuroscience, Psychology, Drug Research and Child Health (NEUROFARBA), University of Florence, Florence, ItalyDepartment of Pediatric and Neonatal Surgery, Meyer Children’s Hospital IRCCS, Florence, ItalyDepartment of Neuroscience, Psychology, Drug Research and Child Health (NEUROFARBA), University of Florence, Florence, ItalyDepartment of Pediatric and Neonatal Surgery, Meyer Children’s Hospital IRCCS, Florence, ItalyBronchopulmonary sequestrations (BPSs) are rare congenital anomalies characterized by non-functioning embryonic lung tissue receiving anomalous blood supply. They are most commonly located within the thorax (supradiaphragmatic) or into the abdominal cavity (infradiaphragmatic). Intradiaphragmatic extralobar BPs (IDEPS) are an exceptionally rare finding, representing a diagnostic and operative challenge. We report three cases of IDEPS and their surgical management, describing our experience and approach to such rare clinical entities. From 2016 to 2022, we treated 3 cases of IDEPS. Surgical techniques, histopathological findings and clinical outcomes were retrospectively evaluated for each case and compared. Three different surgical techniques were used to approach each lesion, from open thoracotomy to a combined laparoscopic and thoracoscopic approach. Histopathological analysis of the specimens revealed hybrid pathological features, proper of both congenital pulmonary airway malformation (CPAM) and extralobar pulmonary sequestration. IDEPS represent a surgical challenge for pediatric surgeons, given their complex surgical planning. In our experience, the thoracoscopic approach is safe and feasible when performed by trained surgeons, even though a combined thoracoscopic-laparoscopic approach allows for optimal vessels control. The presence of CPAM elements within the lesions supports their surgical removal. Additional studies are required to better characterize IDEPS and their management.https://www.frontiersin.org/articles/10.3389/fsurg.2023.1181007/fullchildrencongenital lung malformationCPAMbronchopulmonary sequestrationthoracoscopylaparoscopy |
| spellingShingle | Chiara Oreglio Chiara Oreglio Francesca Tocchioni Marco Ghionzoli Marco Ghionzoli Annamaria Buccoliero Antonino Morabito Antonino Morabito Francesco Morini Francesco Morini Intradiaphragmatic pulmonary sequestrations: a surgical challenge. Case series Frontiers in Surgery children congenital lung malformation CPAM bronchopulmonary sequestration thoracoscopy laparoscopy |
| title | Intradiaphragmatic pulmonary sequestrations: a surgical challenge. Case series |
| title_full | Intradiaphragmatic pulmonary sequestrations: a surgical challenge. Case series |
| title_fullStr | Intradiaphragmatic pulmonary sequestrations: a surgical challenge. Case series |
| title_full_unstemmed | Intradiaphragmatic pulmonary sequestrations: a surgical challenge. Case series |
| title_short | Intradiaphragmatic pulmonary sequestrations: a surgical challenge. Case series |
| title_sort | intradiaphragmatic pulmonary sequestrations a surgical challenge case series |
| topic | children congenital lung malformation CPAM bronchopulmonary sequestration thoracoscopy laparoscopy |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1181007/full |
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