Collection
Thoracoscopic Lung Resection
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
In Germany, the standard practice is to operate on any cystic lung lesion at 3-6 months of age because of potential malignancy risk later in life. — Benno, Congenital Cystic Lung Lesions: Update Course 2014 · 17:46
Postnatal Management of Lung Lesions Part III: Pediatric Thoracic Surgery...
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Course directors Drs Alan Flake, Steve Rothenberg and Todd Ponsky, along with additional faculty including Drs Jean Martin Laberge, Ramesh Santhanakrishnan, Giovanna Riccipetitoni, Mark Wulkan, Alexander Razumovskiy, Starla Martinez, Marcel
video27:56 · Sep 2018
Postnatal Management of Lung Lesions Part II: Pediatric Thoracic Surgery...
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Course directors Drs Alan Flake, Steve Rothenberg and Todd Ponsky, along with additional faculty including Drs Jean Martin Laberge, Ramesh Santhanakrishnan, Giovanna Riccipetitoni, Mark Wulkan, Alexander Razumovskiy, Starla Martinez, Marcel
video25:07 · Sep 2018
Postnatal Management of Lung Lesions Part I: Pediatric Thoracic Surgery Part...
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Course directors Drs Alan Flake, Steve Rothenberg and Todd Ponsky, along with additional faculty including Drs Jean Martin Laberge, Ramesh Santhanakrishnan, Giovanna Riccipetitoni, Mark Wulkan, Alexander Razumovskiy, Starla Martinez, Marcel
video31:07 · Sep 2018
Management of Asymptomatic Lung Lesions: Pediatric Thoracic Surgery Part...
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Course directors Drs Alan Flake, Steve Rothenberg and Todd Ponsky, along with additional faculty including Drs Jean Martin Laberge, Ramesh Santhanakrishnan, Giovanna Riccipetitoni, Mark Wulkan, Alexander Razumovskiy, Starla Martinez, Marcel
video20:11 · Jan 2019
Congenital Cystic Lung Lesions: Update Course 2014
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Dr. Steve Rothenberg, Chief of Pediatric Surgery at Rocky Mountain Hospital for Children, Denver, Colorado, presents the topic of congenital cystic lung lesions. His discussion includes various case presentations and comprehensive panel dis
video24:39 · Nov 2018
Should We Resect Asymptomatic CPAM Flake vs Langer
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Great Debate from 2017! Watch Alan Flake and Steve Rothenberg debate Jack Langer and Jean Matin Laberge on wether or not asymptomatic CPAM's need to be resected. Originally aired March 23, 2017
video14:03 · May 2019
LigaSure LS1000 device provides significant safety advantage in pediatric thoracoscopy despite adding minutes to case time compared to other energy devices — Steven Rothenberg, Left Lower Lobectomy for Sequestration: Pediatric Thoracic Surgery Part... · 12:25
Right upper lobe4 items
Thoracoscopic Right Upper Lobectomy
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Thoracoscopic resection of the right upper lobe by Dr. Steven Rothenberg.
video · Jan 2019
IPEG Academy: Thoracoscopic Right Upper Lobectomy
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IPEG Academy Instructional Video: Thoracoscopic Right Upper Lobectomy
M.C. Mora, H.D. Le, G. Azzie, S.S. Rothenberg, K.A. Diefenbach
video · Jul 2024
Thoracoscopic Right Upper Lobectomy in a 3-Month-Old with Incomplete Fissures
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Surgical content by Dr. Steve Rothenberg — Thoracic Surgery
video20:17 · May 2026
Thoracoscopic Right Upper Lobe Resection
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Surgical content by Dr. Steve Rothenberg — Thoracic Surgery
video · May 2026
Right middle lobe3 items
Thoracoscopic Right Middle Lobectomy
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Dr. Steven Rothenberg performs a thoracoscopic right middle lobectomy.
video · Jan 2019
IPEG Academy: Thoracoscopic Right Middle Lobectomy
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IPEG Academy Instructional Video: Thoracoscopic Right Middle Lobectomy
M.C. Mora, H.D. Le, G. Azzie, S.S. Rothenberg, K.A. Diefenbach
video · Jul 2024
Thoracoscopic Right Middle Lobectomy
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Surgical content by Dr. Steve Rothenberg — Thoracic Surgery
video · May 2026
Right lower lobe8 items
Thoracoscopic Right Lower Lobectomy
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Dr. Steven Rothenberg performs a thoracoscopic right lower lobectomy.
video · Jan 2019
Thoracoscopic Intralobar Right Lower Lobectomy
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Dr. Steven Rothenberg performs a thoracoscopic intralobar right lower lobectomy.
video · Jan 2019
IPEG Academy: Thoracoscopic Right Lower Lobectomy
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IPEG Academy Instructional Video: Thoracoscopic Right Lower Lobectomy
M.C. Mora, B. Slater, S.S. Rothenberg, H.D. Le, G. Azzie, K.A. Diefenbach
video · Jul 2024
Thoracoscopic Right Lower Lobe Cystic Lesion Excision: Update Course 2014
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Dr. Steve Rothenberg, Chief of Pediatric Surgery at Rocky Mountain Hospital for Children, Denver, Colorado, presents the topic of congenital cystic lung lesions. Topics discussed include asymptomatic congenital lung lesions, thoracoscopic l
video11:24 · Jan 2019
Thoracoscopic Right Lower Lobectomy, Short Version
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Surgical content by Dr. Steve Rothenberg — Thoracic Surgery
video · May 2026
Thoracoscopic Right Lower Lobectomy in a 3-Month-Old with Prenatally Diagnosed CPAM
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Surgical content by Dr. Steve Rothenberg — Thoracic Surgery
video16:38 · May 2026
Thoracoscopic Resection of a Right Lower Lobe Extralobar Sequestration
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Surgical content by Dr. Steve Rothenberg — Thoracic Surgery
video · May 2026
Thoracoscopic Stapling of the Right Lower Lobe Pulmonary Vein
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Surgical content by Dr. Steve Rothenberg — Thoracic Surgery
video · May 2026
Left upper lobe4 items
Thoracoscopic Left Upper Lobectomy for CPAM in a 4-Month-Old, 5 kg Infant
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Thoracoscopic resection of the left upper lobe by Dr. Steven Rothenberg.
video4:29 · Jan 2019
Thoracoscopic Left Upper Lobectomy for CPAM in a 4-Month-Old, 5 kg Infant
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Dr. Steven Rothenberg performs a thoracoscopic blinded left upper lobectomy for a prenatally-diagnosed CPAM.
video4:28 · Jan 2019
Thoracoscopic Left Upper Lobectomy
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Surgical content by Dr. Steve Rothenberg — Thoracic Surgery
video · May 2026
IPEG 2020 TOP ABSTRACT: Thoracoscopic lingulectomy for a Prenatally diagnosed CPAM in a 3 month old infant
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Steven Rothenberg, MD
steverberg@aol.com
#thoracoscopy #children's lung surgery #lobectomy
Steven Rothenberg, MD; Rocky Mountain Hospital for Children
This video demonstrates the technique for an anatomic segmental resection of the lingula
video4:50 · Jul 2023
Left lower lobe8 items
Thoracoscopic Left Lower Lobectomy Technique by Dr. Steven Rothenberg: How I...
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Dr. Steven Rothenberg from Rocky Mountain Hospital for Children describes his technique for performing a thoracoscopic left lower lobectomy.
video18:52 · Jan 2019
Left Lower Lobectomy for Sequestration: Pediatric Thoracic Surgery Part...
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Dr. Steven Rothenberg demonstrates left lower lobectomy technique for sequestration, including tips and tricks.
video35:45 · Jan 2019
IPEG Academy: Thoracoscopic Left Lower Lobectomy
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IPEG Academy Instructional Video: Thoracoscopic Left Lower Lobectomy
M.C. Mora, H.D. Le, G. Azzie, S.S. Rothenberg, K.A. Diefenbach
video · Oct 2024
Thoracoscopic Stapling of the Left Lower Lobe Bronchus
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Surgical content by Dr. Steve Rothenberg — Thoracic Surgery
video0:11 · May 2026
Thoracoscopic Left Lower Lobectomy for Metastatic Osteosarcoma in a 20-Year-Old
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Surgical content by Dr. Steve Rothenberg — Thoracic Surgery
video6:17 · May 2026
Thoracoscopic Left Lower Lobectomy for Intralobar Sequestration in a 4-Month-Old
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Surgical content by Dr. Steve Rothenberg — Thoracic Surgery
video4:50 · May 2026
Thoracoscopic Left Lower Lobectomy
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Surgical content by Dr. Steve Rothenberg — Thoracic Surgery
video · May 2026
Thoracoscopic Stapling of the Left Lower Lobe Pulmonary Artery with a 5 mm Stapler
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Surgical content by Dr. Steve Rothenberg — Thoracic Surgery
video0:09 · May 2026
General technique and results2 items
Animation of Thoracoscopic Lobectomy in an Infant
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Surgical content by Dr. Steve Rothenberg — Thoracic Surgery
video0:59 · May 2026
PAPS stapler lobectomy 2016
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Surgical content by Dr. Steve Rothenberg — Thoracic Surgery
article · May 2026
Thoracoscopic Lung Biopsy in a 17-Year-Old
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Surgical content by Dr. Steve Rothenberg — Thoracic Surgery
video · May 2026
Thoracoscopic Lung Biopsy Using a 5 mm Stapler
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Surgical content by Dr. Steve Rothenberg — Thoracic Surgery
video · May 2026
Thoracoscopic Stapled Lung Biopsy
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Surgical content by Dr. Steve Rothenberg — Thoracic Surgery
video · May 2026
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Management of Asymptomatic Lung Lesions: Pediatric Thoracic Surgery Part...
Most experts now believe CCAMs do not become pleuropulmonary blastoma (PPB); rather, PPB is a de novo tumor that is cystic and cannot be differentiated from CCAM on imaging.
clinicalJean Martin0:31 ↗
There are cases of prenatally diagnosed cystic lung lesions that turned out to be PPB after resection.
clinicalJean Martin0:51 ↗
A Toronto series estimates that approximately 4% of cystic lesions that appear to be CCAM will actually turn out to be pleuropulmonary blastoma.
epidemiologicalJean Martin1:24 ↗
There is approximately 1% risk of bronchioloalveolar carcinoma arising from CCAM, typically in teenage years or early adulthood.
epidemiologicalJean Martin1:34 ↗
If thoracoscopic resection is performed, the specimen should be placed in a bag before extraction to avoid tumor spillage in case the lesion is PPB, as there is a risk of recurrence.
clinicalJean Martin2:11 ↗
Non-communicating extralobar sequestrations have a very low infection rate; hematogenous infection is possible but rare, similar to any other body tissue.
clinicalJean Martin2:39 ↗
Malignant transformation of extralobar sequestration is extremely rare, with perhaps one or two cases of squamous cell carcinoma described in world literature.
epidemiologicalJean Martin3:00 ↗
Infection and cancer are not good arguments to resect a non-communicating extralobar sequestration.
opinionJean Martin3:11 ↗
The incidence of infection and malignancy in extralobar sequestrations is very low, but has occurred.
clinicalSteve3:44 ↗
Current imaging is not perfect and cannot always definitively diagnose extralobar sequestration or rule out hybrid lesions.
clinicalSteve3:51 ↗
The morbidity of resecting extralobar sequestrations is very low, which favors resection over observation.
opinionSteve4:03 ↗
There is no role for embolization of extralobar sequestrations; it is much easier to resect them using minimally invasive techniques than to subject an infant or child to embolization.
opinionSteve4:49 ↗
The differential diagnosis for infradiaphragmatic lesions prenatally includes adrenal hemorrhage and neuroblastoma (including cystic neuroblastoma).
clinicalAlan5:18 ↗
Small infradiaphragmatic lesions can be followed by ultrasound; if they stay the same size or get smaller, they do not require resection.
clinicalAlan5:24 ↗
Adrenal hemorrhage will evolve over time and become recognizable on imaging.
clinicalAlan5:37 ↗
A Children's Oncology Group (COG) study showed it is safe to observe adrenal masses suspicious for neuroblastoma, though they must be watched.
clinicalJean Martin5:52 ↗
There is no good way to follow pulmonary lesions; CT scan is the best method but induces a certain incidence of malignancy itself.
clinicalAlan6:17 ↗
CT scan cannot differentiate CCAM from pleuropulmonary blastoma, so surveillance imaging will not allow earlier detection of malignancy until stage 2 or 3 disease occurs.
clinicalAlan6:32 ↗
It is almost universal that families cannot be counseled with the word 'cancer' and then choose to watch the lesion.
opinion6:56 ↗
When deciding whether to operate, the risks of not operating must be weighed against the risks of operating.
opinionJack7:10 ↗
There has been very little discussion about the risks of performing lobectomy during the panel.
opinionJack7:23 ↗
The risks of pulmonary lobectomy are low, especially in experienced hands, but there are still children who die from pulmonary lobectomy, particularly when done thoracoscopically.
clinicalJack7:29 ↗
Thoracoscopic lobectomy should not be performed unless the surgeon is experienced; in experienced hands, thoracoscopic lobectomy should have no more morbidity than open lobectomy.
opinionSteve8:08 ↗
Thoracoscopic lobectomy should only be performed by surgeons with advanced thoracic and minimally invasive skills; in such hands, mortality should be zero.
opinionSteve8:26 ↗
If you do enough of any operation, you will have significant complications, whether open or thoracoscopic.
opinionJack8:40 ↗
If massive bleeding occurs during thoracoscopic lobectomy, the chance of salvaging the situation is probably better if the case is already open rather than thoracoscopic.
opinionJack9:04 ↗
Pleuropulmonary blastoma (PPB) can be indistinguishable radiologically from CCAM, but the incidence of CCAM/CPAM is markedly higher than the incidence of PPB; PPBs remain extremely rare.
epidemiologicalJack9:47 ↗
Peter Kim's paper used the Stalker classification in which one histological category has been termed PPB, but the natural history of that histological finding is unknown.
clinicalJack10:06 ↗
At a high-volume center, de novo PPB is seen extremely rarely, approximately once every 3-4 years, while approximately 20-25 new cases of CCAM are seen annually.
epidemiologicalJack10:28 ↗
The incidence of cancer in CCAM remains extremely low and must be balanced against the risk of the operation.
opinionJack10:44 ↗
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