Simultaneous uniportal VATS right upper lobectomy with NUSS procedure for pectus excavatum repair; first reported uniportal combined lobectomy and Nuss operation

Abstract

We report a case of 8 years old male child with bronchiectasis and pectus excavatum. Although feasibility and safety of VATS become well-established in treatment of benign pathologies [1], many surgeons would argue that two benign lesions in a small child should be approached through an open approach especially that bronchiectasis usually has thick adhesions due to repeated infections and a small chest cavity may not allow a full range of movement of staplers.

Pectus excavatum is the most common congenital chest wall deformity, and the minimally invasive repair of the pectus excavatum (MIRPE) has become the treatment of choice in the last decade [2]. Bronchiectasis is an airway chronic disease. Thoracoscopic surgery for localized bronchiectasis is gaining more acceptance every day [3].

Simultaneous open cardiothoracic operations and pectus repair are being used but still lack satisfactory cosmetic results. Few publications report simultaneous multiport VATS and MIRPE [4,5]. Our case is the first reported example of such combined procedures via Uniportal VATS approach reported in an 8 years old child.