Past Events

Pediatric Thoracic Surgery Part 1: Lung Lesions

Aired on 8.15.2012
Pediatric Thoracic Surgery Part 1: Lung Lesions CME
Pediatric Thoracic Surgery Part 1: “Lung Lesion Work-Up and Management: Current Concepts and Controversies”

  • Prenatal and Postnatal Diagnosis and Treatment of Lung Lesions
  • Management of the Asymptomatic Lesion
  • Treatment Options for CPAM, PS, and CLE
  • Lung and Thoracic Vascular Anatomy
  • Standard Thoracotomy Approaches
  • Thorascopic Technique Overview
  • Right Upper, Middle and Lower Lobe Techniques
  • Left Upper and Lower Lobe Techniques


This course will review the basics of pediatric lung lesions and thoracic vascular anatomy, the current treatment modalities, and most importantly, tips and tricks for standard thoracotomy techniques and approaches.

Directors & Faculty


Alan W. Flake, MD

Dr. Flake is an attending surgeon and director of the General Surgery Fellowship Program atThe Children's Hospital of Philadelphia, where he holds the Ruth M. and Tristram C. Colket, Jr.Endowed Chair in Pediatric Surgery. He serves as director of CHOP's Center for Fetal Researchand is professor of Surgery and Obstetrics and Gynecology at the Perelman School of Medicineat the University of Pennsylvania

Steve Rothenberg, MD

Chief of Pediatric Surgery at Rocky Mountain Hospital for Children, Denver, Colorado. Professor of Surgery at Columbia University, New York, New York He was a founder and past president of the International Pediatric Endosurgical Group (IPEG), SAGES, Telementoring Task Force Member

Todd Ponsky, MD

Todd Ponsky is currently Professor of Surgery at the University of Cincinnati and a pediatric surgeon at Cincinnati Children’s Hospital Medical Center and Akron Children’s Hospital. He is the Director of Clinical Growth and Transformation at Cincinnati Children’s Hospital. He attended medical school at Case Western Reserve University in Cleveland, Ohio from 1995-1999,Residency in General Surgery at The George Washington University in Washington, DC from 1999-2005, Pediatric Surgery Fellowship at Children's National Medical Center in Washington, DC from 2005-2007,and an Advanced Minimally Invasive Pediatric Surgery Fellowship at The Rocky Mountain Hospital for Children in Denver, CO from 2007-2008. Dr. Ponsky was the first to perform and report single port surgery in children and modernized the methods of the laparoscopic pediatric hernia repair. He has published over 125 manuscripts, edited 3 textbooks, and authored over 30 book chapters. He has directed over 50 national/international courses and has given over 200 visiting lectureships. He is the Associate Editor for The Journal of Pediatric Surgery, and serves on three editorial boards. He is the immediate past president of the International Pediatric Endosurgery Group (IPEG) and holds, or has held, leadership positions in the American College of Surgeons (ACS), the American Pediatric Surgical Association (APSA), the Society of American Gastrointestinal Endoscopic Surgeons (SAGES) and the International Society for Pediatric Innovation (iSPI). He has won numerous faculty teaching awards. He is involved in both outcomes and animal research with a focus on inguinal hernia physiology, surgical telementoring, endoscopic repair techniques for pure esophageal atresia, and innovations in education. He founded GlobalcastMD and Stay Current in Surgery, both of which serve to democratize and internationalize medical knowledge and modernize the way we teach and learn surgery.

Additional Faculty

John Crow, MD

Chairman, Department of Surgery, Akron Children's Hospital. Professor of Clinical Surgery at Northeast Ohio Medical University (NEOMED). Akron, Ohio.

Jean Martin Laberge, MD

Professor of Surgery OB/GYN Research Institute at McGill University Health Center, Montreal, Canada

Starla Martinez

Associate Professor of Pediatrics; Director, Undergraduate Medical Education, Northeast Ohio Medical University . Akron, Ohio

Marcelo Martinez-Ferro

Dr. Martinez-Ferro is the surgeon-in-chief at The Fundacion Hospitalaria Children´s Hospital. Buenos Aires, Argentina.

Alexander Razumovskiy

Filatov Children’s Hospital; Russian State Medical University, Moscow, Russia

Professor Giovanna Riccipetitoni

Prof. Riccipetitoni is currently the Director of the Department of Pediatric Surgical Specialities of Buzzi Children’s Hospital – ASST FatebeneFratelli-Sacco-Buzzi in Milan.  Moreover from 2006 to 2010 she was President of Comiteé for Guidelines in Research, Education and Assistance of the Universitary Hospital of Ferrara.  She has performed more than 15,000 surgical operations as first operator in all fields of pediatric surgery: thoracic surgery, gastroenterologic surgery, urology, oncologic surgery, plastic and reconstructive surgery. She has developed a great experience in mininvasive surgery and she regularly performs this technique in many fields.  She is also currently the Assistant Editor of the Journal of Pediatric Surgery since 2017 as well as Assistant Editor of the European Journal of Pediatric Surgery since 2016, and the Assistant Editor of Pediatric Surgery International since 2015. 

Ramesh Santhanakrishnan

Surgery Department Chair - Indira Gandhi Institute of Child Health – Bangalore, India

Mark Wulkan, MD, FAAP

Akron Children's Hospital Bruce F. Rothmann, M.D. Chair in Pediatric Surgery. Dr. Wulkan is a pioneer in pediatric advanced minimally invasive surgery with a strong interest in neonatal and thoracic lesions. After initiating the Minimally Invasive Surgery Center at Children’s in 2003, he oversaw its growth into one of the most high volume pediatric minimally invasive programs in the country. Additionally, he performed Children’s first lap-band procedure to treat adolescent obesity in 2007, was one of the first surgeons in Georgia to perform single-site incision surgery on pediatric patients for routine surgeries in 2009, and performed the first laparoscopic sleeve gastrectomy for adolescent obesity in the Southeast in 2010.


8:00 am - 8:10 am
8:10 am - 8:30 am
Prenatal diagnosis, lesion classification, pre and peri-natal management, Role of Fetal Surgery, EXIT, and immediate resection
8:30 am - 9:00 am
Panel Discussion

9:00 am - 9:30 am
Postnatal workup of prenatally Diagnosed lesion, Timing of workup and Treatment, Management of the Asymptomatic Lesion, Treatment Options for CPAM, BPS, and CLE
9:30 am - 10:25 am
Panel Discussion

10:25 am - 10:40 am
10:40 am - 10:50 am
Lung and Thoracic Vascular Anatomy
10:50 am - 11:00 am
Standard Thoracotomy Approaches
11:00 am - 11:10 am
Thoracoscopy Technique Overview
11:10 am - 11:45 am
Right Upper, Middle, Lower Lobe Technique
11:45 am - 12:00 pm
12:00 pm - 12:30 pm
Left Upper and Lower Lobe Technique
12:30 pm - 1:00 pm
Case Presentations
Difficult case presentation Spontaneous Pneumothorax
1:00 pm - 1:30 pm
Case Presentations
Difficult Case
1:30 pm - 2:00 pm
Panel Discussion

2:00 pm - 2:15 pm
2:15 pm - 3:15 pm
LIVE Surgery
Resection of pulmonary sequestration; Lobectomy

3:15 pm - 3:30 pm

Topics Covered

Prenatal and Postnatal Diagnosis and Treatment of Lung Lesions

Management of the Asymptomatic Lesion

Treatment Options for CPAM, PS, and CLE

Lung and Thoracic Vascular Anatomy

Standard Thoracotomy Approaches

Thorascopic Technique Overview

Right Upper, Middle and Lower Lobe Techniques

Left Upper and Lower Lobe Techniques


1. To understand the optimal management of prenatal lung lesions.

2.  To understand the optimal management of postnatal lung lesions.

3.  To understand how to perform a thoracoscopic lung resection.