Congenital lung malformation: Evaluation of prenatal and postnatal radiological findings

Zeidan, Smart; Gorincour, Guillaume; Potier, A.; Ughetto, Fabrice; Dubus, J.-C.; Chrestian, Marie-Anne; Grosse, Camille; Gamerre, M.; Guys, Jean-Michel; Lagausie, Pascal de

doi:10.1111/j.1440-1843.2009.01591.x

Cited by 25 publications

(11 citation statements)

References 34 publications

(82 reference statements)

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“…During the study period, a total of twelve children were treated for bronchogenic cyst[1] including sixin whom diagnosis was achieved antenatally. Four children that were treated surgically were excluded because diagnosis was not achieved antenatally and two because subsequent post-natal evaluation demonstrated cystic adenomatoid malformation.…”

Section: Resultsmentioning

confidence: 99%

“…However, perusal of previous reports on congenital pulmonary malformations highlights a consensus for yearly pulmonary CT-scan. [1] Our approach after antenatal diagnosis calls for CT-scan without anesthesia at one month after birth to confirm the malformation followed by chest x-ray every three months to rule out parenchymal complications. Repeat CT-scan is performed at one year before surgery.…”

Section: Discussionmentioning

confidence: 99%

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Bronchogenic cyst: Clinical course from antenatal diagnosis to postnatal thoracoscopic resection

Maurin¹,

Hery²,

Bourlière

et al. 2013

J Min Access Surg

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PURPOSE:The purpose of this study was to describe an approach to surgical management of bronchogenic cysts based on the natural course observed from the time of antenatal screening to surgical resection in patients treated at our institution and reported in the literature.MATERIALS AND METHODS:We retrospectively reviewed the clinical features of all children presenting bronchogenic cyst diagnosed antenatally from 2007 to 2010. A total of six children were included.RESULTS:Antenatal diagnosis was accurate in 62.5% of cases. In the first year of life, the size of the cyst remained stable in four patients, doubled in one, and increased 30% within six months in one. The indication for surgery was emphysema of the left bronchus in two patients and rapid growth in two patients. One patient is still awaiting surgery.CONCLUSION:Bronchogenic cysts grow slowly in the first months of life, but growth is exponential even in the absence of complications. We recommend complete resection before the age of two years to prevent infectious complications and facilitate surgery.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Bronchogenic cyst: Clinical course from antenatal diagnosis to postnatal thoracoscopic resection

Maurin¹,

Hery²,

Bourlière

et al. 2013

J Min Access Surg

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“…A secondary objective of this study was to determine whether the CVR was an accurate measure of mass size when compared with postnatal CT scan, the current imaging gold standard . Despite changes observed in CVR growth over time, the initial, mean, maximum, and final CVRs were all significantly correlated with postnatal CT lesion size dimensions and likelihood for surgical resection.…”

Section: Discussionmentioning

confidence: 99%

Surveillance of fetal lung lesions using the congenital pulmonary airway malformation volume ratio: natural history and outcomes

et al. 2016

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“…Up to 26% of prenatally diagnosed lesions can have occult infection, cell dysplasia or even tumour [26]. In addition, few congenital lung anomalies other than CPAM may have similar appearance in prenatal or postnatal images, which will lead to different disease progression [27][28][29]. No single reliable indicator was found, that is, which asymptomatic patient would remain asymptomatic throughout his/her life span and which patient would develop symptoms in the watchful waiting period.…”

Section: Discussionmentioning

confidence: 99%

Uniportal Thoracoscopic Lobectomy for Congenital Lung Malformations in Children

Chou¹,

Huang²,

Yeh³

et al. 2018

J Surg

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Introduction: Single-incision paediatric endosurgery is gaining popularity, especially for abdominal operations. However, few reports in the literature support the feasibility of uniportal thoracoscopic surgery for congenital lung malformations in paediatric patients. This paper presented the initial experience with uniportal thoracoscopic surgery and compared the surgical outcomes with multiport Video-Assisted Thoracoscopic Surgery (VATS) and traditional thoracotomy. Materials and Methods: From January 2009 to January 2018, a retrospective review of all patients (less than 18 years old) who underwent surgery for congenital lung malformations at our institution was performed. General data, operative data, anaesthesia parameters and surgical outcomes were collected. Results were analysed with one-way ANOVA and chi-square tests for continuous and categorical data. Results: Twenty-one patients with congenital lung malformations underwent surgery at our institution. The number of patients enrolled in thoracotomy, multiportal VATS and uniportal VATS groups was 8, 6 and 7, respectively. No difference in age, body weight, post-operative stay and drainage period was observed among the groups. A considerably high conversion rate (3/6, 50%) was observed in the multiportal VATS group. After the introduction of endobronchial blocker for one lung ventilation, all multi-portal and uniportal VATS procedures could be performed safely without residual lesion or mortality. Conclusions: VATS is feasible in the paediatric population, and it needs experienced surgical skills and unique anaesthetic requirements. For small infants with congenital lung malformations, uniportal VATS with endobronchial blocker is preferred.

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Congenital lung malformation: Evaluation of prenatal and postnatal radiological findings

Abstract: Prenatal MRI is less accurate than postnatal CT scan, which remains the most reliable diagnostic modality to specify the location and extent and kind of lesions.

Cited by 25 publications

References 34 publications

Bronchogenic cyst: Clinical course from antenatal diagnosis to postnatal thoracoscopic resection

Bronchogenic cyst: Clinical course from antenatal diagnosis to postnatal thoracoscopic resection

Surveillance of fetal lung lesions using the congenital pulmonary airway malformation volume ratio: natural history and outcomes

Uniportal Thoracoscopic Lobectomy for Congenital Lung Malformations in Children

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