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PEDIATRIC ANESTHESIA

The Successful Management of Thoracoscopic Thoracic Duct Ligation in a Compromised Infant with Targeted Lobar Deflation

Masahiko Takahashi, MD^*, Yoshimochi Kurokawa, MD, Hiroaki Toyama, MD^*, Ryuichi Hasegawa, MD^*, and Yasuhiko Hashimoto, MD^*

*Departments of Anesthesiology and Emergency Medicine and Surgery, Tohoku University Postgraduate Medical School, Sendai, Japan

Address correspondence and reprint requests to Masahiko Takahashi, MD, Assistant Professor, Department of Anesthesiology and Emergency Medicine, Tohoku University Postgraduate Medical School, 1-1 Seiryo, Aoba-ku, Sendai 980-8574, Japan. Address e-mail to m-takaha{at}mail.cc.tohoku.ac.jp

Implications: We describe the successful management of thoracoscopic thoracic duct ligation in a 2.5-kg compromised infant by using selective lobar-bronchial blockade. The technique reduces the risk of intraprocedural physiologic impairment, allowing the benefits of otherwise minimally invasive thoracoscopic procedures, even when the conditions of children are severely compromised.

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