IPEG 2020 TOP ABSTRACT: Laparoscopic Excision of Intra-Abdominal Extralobar Bronchopulmonoary Sequestration
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More about intra-abdominal extralobar bronchopulmonary sequestration
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What the experts said
Prenatal ultrasound at 27 weeks gestation can identify intra-abdominal extralobar bronchopulmonary sequestrations
Postnatal MRI can confirm diagnosis and identify feeding vessels in IEBPS
Four ports were used to aid in mobilization of the mass during laparoscopic excision
Short gastric vessels were transected using a 3 millimeter sealer device
The feeding vessel from the aorta was transected during mass mobilization
Air insufflation of the stomach can be used intraoperatively to test for gastric injury when mass is densely adherent
Diaphragmatic defects created during IEBPS excision can be closed with interrupted 30 silk sutures
Intra-abdominal extralobar bronchopulmonary sequestrations account for 10 to 15% of extralobar cases
Congenital lung malformations are rare
Surgical intervention is the most common approach in the United States for IEBPS
Some surgeons elect for observation of asymptomatic patients with non-cystic small lesions
There is no consensus in the treatment of IEBPS and there is high variability in practice
Laparoscopic approach is efficacious for correction of intra-abdominal extralobar bronchopulmonary sequestrations in pediatric patients