Foregut duplications: is there an advantage to thoracoscopic resection?

Evolving experience with video-assisted thoracic surgery in congenital cystic lung lesions in a British pediatric center

“…All of our antenatally diagnosed foregut duplications were successfully treated using VATS, and this is consistent with the literature [10,[16][17][18]. However, only 50% of latepresenting cases were managed without conversion by VATS.…”

Thoracoscopic versus open resection of congenital lung lesions: a case-matched study

“…Despite the stated advantages of the thoracoscopic approach, few authors have specifically compared the perioperative outcomes in children undergoing a thoracoscopic resection relative to one done by thoracotomy [6][7][8]. There are however adult studies examining this issue, with inconsistent findings in terms of reduction in postoperative pain [9].…”

“…Bratu et al examined the outcomes in 11 children undergoing a thoracoscopic resection of a foregut duplication relative to 21 patients who underwent thoracotomy for the same indication [6]. Overall, their results demonstrated an advantage to the thoracoscopic procedure in terms of chest tube duration (1.6 vs 3.3 days) and time to discharge (2.6 vs 6.6 days).…”

“…As well, the thoracoscopic approach has the potential to decrease the incidence of longterm spinal column and chest wall deformities that are seen after thoracotomy [5]. However, few studies have evaluated perioperative outcomes relative to the open technique [6][7][8]. The objective of this article is to compare the outcomes in children undergoing thoracoscopic versus open resection of congenital lung lesions.…”

Multiple antenatally diagnosed foregut duplication cysts excised and the value of thoracoscopy in diagnosing small concurrent cysts

“…Therefore, an elective resection of foregut duplication is advocated and is generally accepted surgical management. 3,4 With the advances in antenatal imaging, cystic lesions are now being diagnosed antenatally. 5 Antenatally diagnosed intrathoracic or intra-abdominal cystic lesions are best investigated and delineated by a postnatal CT scan as invariably a plain chest X-ray fails to demonstrate such lesions.…”