BACKGROUND
This article presents the experience of laparoscopic treatment of intra-abdominal forms of bronchopulmonary sequestration in infants diagnosed prenatally, before the onset of symptoms.
MATERIAL AND METHODS
The study carried out a retrospective analysis of clinical data from 4 patients with intra-abdominal type of bronchopulmonary sequestration who underwent laparoscopic operations over the past 5 years, starting in 2015. All cases were first detected by prenatal ultrasound examination, which showed the presence of a hyperechoic mass located below the diaphragm.
RESULTS
We analyzed 4 cases (2 boys and 2 girls) of intra-abdominal bronchopulmonary sequestration diagnosed in our hospital over the past 5 years. Prenatal diagnosis was established on average at 28±4 weeks of gestation. The age when the surgery was performed ranged from 14 to 60 days, with an average of 30 days. In 3 patients, pulmonary sequestration was located under the left dome of the diaphragm, in 1 — under the right dome. All patients underwent complete laparoscopic resection of pulmonary sequestration. The average duration of surgical intervention was 60±18.0 minutes. The postoperative period in all patients was uneventful. Histological analysis of samples taken during the operation showed the presence of bronchial and alveolar tissue covered with mesothelial cells. In 3 patients, cystic formations were found, similar to those observed in cystic-adenomatous lung disease. Postoperative follow-up was performed for 6 months to 5 years after the operation. During these observations, musculoskeletal deformities of the chest and adhesive intestinal obstruction were not recorded.
CONCLUSION
The series of minimally invasive treatment of patients with bronchopulmonary sequestration with intra-abdominal localization presented in this study demonstrates the effectiveness and safety of this approach, especially for the surgical correction of those forms of the disease when sequesters are located in hard-to-reach anatomical spaces of the body.
