Resumen

HERNANDEZ RIVERO, Alejandro José et al. Thoracoscopic resection of solitary pulmonary nodule in child. Arch Venez Puer Ped [online]. 2012, vol.75, n.4, pp.118-120. ISSN 0004-0649.

Minimally invasive surgery constitutes one of the greatest advances of medicine in the last three decades. Pediatric surgery has not escaped this progress; in fact, nowadays there are many indications to perform this technique on children. Solitary pulmonary nodule is defined as a spherical lesion surrounded by healthy parenchyma, not associated with atelectasia and without mediastinal lymphadenopathy. We present a nine-year-old girl, with radiological evidence of a solitary pulmonary nodule located at base of the right lung field. A thoracoscopic resection was performed. Oncological pathologies, tuberculosis, mycosis and deposit illnesses were discarded. The only positive serology was for Chlamydia pneumoniae (IgM); however, the patient never presented clinical lower respiratory infection before her admission. The biopsy determined an encapsulated nonspecific inflammatory lesion. We conclude that thoracoscopy should be the method of choice for any thoracic injury in children.

Palabras clave : Minimally invasive surgery; thoracoscopy; solitary pulmonary nodule.

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