AIIMS Performs Keyhole Segmentectomy on Four-Month-Old With Bilateral CPAM

The team used selective lung ventilation to remove only the diseased segments so more healthy lung is preserved for long-term function.

Overview

AIIMS Delhi surgeons removed segments 9 and 10 of the right lower lobe through a thoracoscopic segmentectomy, a precise keyhole procedure led by Prof. Vishesh Jain.
The operation, which took place Wednesday, July 15, was completed without complications and the infant was discharged two days later in stable condition.
The baby had been diagnosed before birth with congenital pulmonary airway malformation (CPAM) that affected both lungs, so surgeons chose a lung-sparing approach rather than a full lobectomy.
Anaesthesia used selective lung ventilation to keep the operated lung motionless while the other lung continued to breathe, a technically demanding step handled by Dr Abhishek that enabled the delicate dissection.
AIIMS says a second, staged surgery on the left lung will follow after the child recovers, and the case demonstrates that segment-level resections can preserve future lung capacity in select infants.