Single site video assisted thoracoscopic wedge resection for spontaneous pneumothorax in a pediatric patient

• Main Authors: Timothy M. Won (Author), Amanda Muñoz (Author), Marla A. Sacks (Author), Yomara S. Mendez (Author), Laura Goodman (Author), Faraz A. Khan (Author), Andrei Radulescu (Author)
• Format: Book
• Published: Elsevier, 2020-10-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 2213-5766; 10.1016/j.epsc.2020.101614
• Keywords: Video-assisted thoracoscopic surgery (VATS); Single site; Pediatric; Pneumothorax; Pediatrics; RJ1-570; Surgery; RD1-811
• Source: Journal of Pediatric Surgery Case Reports, Vol 61, Iss , Pp 101614- (2020)

Surgical treatment for pediatric spontaneous pneumothorax has evolved over time from open thoracotomy to multiport Video Assisted Thoracoscopic Surgery (VATS) and perhaps now towards single site VATS. This is a case of a 16 year-old male with a one-week history of right upper back pain who was found to have a large right-sided spontaneous pneumothorax. Conservative management was attempted, but failed, and he was scheduled for right apical lung blebectomy and mechanical pleurodesis. The decision was made to use a single site approach to minimize sequelae of the surgery. Surgery was successful and the patient was discharged on postoperative day six after a minor air leak subsided. We present this case as evidence for technical feasibility as well as improved postsurgical outcome of single site VATS.