Uniportal video-assisted thoracoscopic lobectomy for pulmonary mucormycosis in a pediatric patient

Abstract

A 15-year-old patient with B-lymphoblastic leukemia developed pulmonary mucormycosis. As severe immunosuppression due to chemotherapy was considered inevitable, emergency surgery was recommended. To minimize surgical invasiveness and reduce the risk of secondary infection, uniportal video-assisted thoracoscopic lobectomy was performed. Despite postoperative immunosuppression, the patient's postoperative course was favorable. There was no surgery-associated secondary infection or recurrence of pulmonary mucormycosis. Chemotherapy was administered, and he underwent hematopoietic stem cell transplantation. Follow-up computed tomography revealed no signs of mucormycosis recurrence at 15 months postoperatively. In conclusion, this type of lobectomy is relatively noninvasive and may be a useful surgical procedure for immunosuppressed patients.

Keywords

• B-lymphoblastic leukemia
• Pulmonary mucormycosis
• Uniportal video-assisted thoracoscopic surgery