Thoracoscopy for Congenital Lung Malformations

Abstract

Lobectomy for congenital pulmonary airway malformations (CPAMs) is one of the most demanding operations in pediatric MAS. Many patients are now diagnosed antenatally, and there is considerable controversy on the management of those cases that are asymptomatic at birth. Early resection and observation both have equally strong advocates. Large cyst lesions may be at higher risk for complications, including late bronchoalveolar carcinoma, and may not be distinguishable from type 1 pleuropulmonary blastoma on imaging alone; therefore the case for resection is stronger.