ORIGINAL RESEARCH article
Front. Pediatr.
Sec. Pediatric Surgery
Volume 13 - 2025 | doi: 10.3389/fped.2025.1649456
Preliminary Experience of Single Operative Port Thoracoscopic Anatomical Lesion Resection for Congenital Lung Malformations in Segments S9-10
Provisionally accepted
- 1Department of Thoracic and Tumor Surgery, Jinan Children's Hospital, Jinan, China
- 2Department of Thoracic and Tumor Surgery, Children’s Hospital Affiliated to Shandong University, Jinan, China
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Purpose: To compare the clinical outcomes of single operative port thoracoscopic anatomical lesion resection (TALR) with multi-portal video-assisted thoracic surgery (M-VATS) in the treatment of congenital lung malformations (CLMs) located in pulmonary segments S9-10, and to evaluate its safety and feasibility in routine practice. Methods: We retrospectively analysed 46 paediatric CLMs cases treated thoracoscopically at our institution from January 2023 to January 2025. Patients were grouped by surgical approach: 13 underwent single operative port TALR, and 33 underwent M-VATS. Clinical parameters were compared between groups. Results: Compared to M-VATS, the single operative port TALR showed significantly reduced blood loss (P = 0.01), chest tube time (P = 0.04), hospital stays (P = 0.04), and incision length (P < 0.01). No bronchopleural fistulas, conversions to open surgery, no recurrence or residual lesions occurred in either group. Conclusion: single operative port TALR is safe, feasible, minimally invasive, and offers excellent cosmetic outcomes, representing a promising surgical technique for treating CLMs involving segments S9-10.
Keywords: Congenital lung malformations, thoracoscopic anatomical lesion resection, singleoperative port, pulmonary segments S9-10, multi-portal video-assisted thoracic surgery
Received: 18 Jun 2025; Accepted: 12 Sep 2025.
Copyright: © 2025 Guo, Zhai, Zhao, Xu, Shen, Huang and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Shisong Zhang, Department of Thoracic and Tumor Surgery, Jinan Children's Hospital, Jinan, China
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