A Safe Technique of Thoracoscopic Clipping of Patent Ductus Arteriosus in Children

Liêm, Nguyễn Thanh; Tuan, Tu Manh; Linh, Nguyen Van

doi:10.1089/lap.2011.0454

Journal of Laparoendoscopic & Advanced Surgical Techniques

2012

DOI: 10.1089/lap.2011.0454

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A Safe Technique of Thoracoscopic Clipping of Patent Ductus Arteriosus in Children

Nguyễn Thanh Liêm

Tu Manh Tuan

Nguyen Van Linh

Abstract: A modified technique of thoracoscopic closure is a safe and effective procedure for PDA in children.

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Cited by 3 publications

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“…Only statistically significant data are reported in ►Table 1. [2][3][4] Furthermore, our search revealed some relevant case series [5][6][7] (level IV of CEBM) stating that the VATS technique for PDA closure is simple, effective, rapid, cost-effective, and more convenient for the patient. It requires a shorter hospital stay and carries cosmetic benefits compared with the conventional thoracotomy.…”

mentioning

confidence: 99%

Evidence for Thoracoscopic Ligation of Patent Ductus Arteriosus

et al. 2015

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mentioning

confidence: 99%

Evidence for Thoracoscopic Ligation of Patent Ductus Arteriosus

et al. 2015

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Incidence, Risk Factors, and Comorbidities of Vocal Cord Paralysis After Surgical Closure of a Patent Ductus Arteriosus: A Meta-analysis

Henry

Hsieh

Sanna³

et al. 2018

Pediatr Cardiol

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Surgical closure of a patent ductus arteriosus (PDA) is considered standard treatment for symptomatic neonates refractory to medical therapy. Sometimes, iatrogenic injury to the left recurrent laryngeal nerve during the procedure can result in vocal cord paralysis (VCP). This study aimed to estimate the incidence of VCP in patients after surgical PDA closure and to identify any associated risk factors and morbidities associated with VCP in the preterm infant population. A thorough search of the major electronic databases was conducted to identify studies eligible for inclusion into this meta-analysis. Studies reporting data on the incidence of VCP (primary outcomes) or risk factors and morbidities associated with VCP in premature infant population (secondary outcomes) were included. A total of 33 studies (n = 4887 patients) were included into the analysis. Overall pooled incidence estimate of VCP was 7.9% (95%CI 5.3-10.9). The incidence of VCP after PDA closure was significantly much higher in premature infants (11.2% [95%CI 7.0-16.3]) than in non-premature patients (3.0% [95%CI 1.5-4.9]). The data showed that VCP was most common after surgical ligation and in studies conducting universal laryngoscopy scoping. The risk factors for postoperative VCP in preterm infants included birth weight and gestational age. In addition, VCP was significantly associated with the occurrence of bronchopulmonary dysplasia, gastrostomy tube insertion, and increased duration of mechanical ventilation. Vocal cord paralysis remains a frequent complication of surgical closure of a PDA, especially in premature neonates, and is associated with significant post-procedural complications.

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First published case of thoracoscopic patent ductus arteriosus closure in the general hospital of Mexico Dr. Eduardo Liceaga

Dajer-Fadel

Pliego-Sánchez

Mejia-Melgar

et al. 2017

Revista Médica del Hospital General de México

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A Safe Technique of Thoracoscopic Clipping of Patent Ductus Arteriosus in Children

Abstract: A modified technique of thoracoscopic closure is a safe and effective procedure for PDA in children.

Cited by 3 publications

References 15 publications

Evidence for Thoracoscopic Ligation of Patent Ductus Arteriosus

Evidence for Thoracoscopic Ligation of Patent Ductus Arteriosus

Incidence, Risk Factors, and Comorbidities of Vocal Cord Paralysis After Surgical Closure of a Patent Ductus Arteriosus: A Meta-analysis

First published case of thoracoscopic patent ductus arteriosus closure in the general hospital of Mexico Dr. Eduardo Liceaga

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