2026 Volume 62 Issue 5 Pages 964-969
Fetal lung interstitial tumor (FLIT) was reported by Dishop et al. in 2010. We report a case of FLIT resected by right middle lobectomy through a hemi-clamshell approach (HCA) and review the literature. A nine-day-old boy was transferred to our hospital because a huge FLIT occupied his right thorax and caused respiratory failure. His respiratory condition seemed to gradually improve, and a contrast computed tomography revealed that the huge tumor originated from the right middle lobe and displaced the other lobes. Right thoracotomy through the hemi-clamshell approach was performed. The tumor adhered to the mediastinal pleura, pericardium, and diaphragm; however, there were no signs of invasion. Right middle lobectomy was performed without any intraoperative complications. Partial wound disruption occurred as a postoperative complication; however, the patient recovered with negative pressure wound therapy. The patient was discharged without requiring any medical care at home. HCA seems to be a considerably useful thoracotomy technique to secure a commanding operative field in cases where a huge tumor occupies the hemithorax and the pediatric patient is symptomatic.
