Surgical management of bronchopulmonary malformations

Wagenaar, Amy E.; Tashiro, Jun; Hirzel, Alicia; Rodriguez, Luis; Pérez, Eduardo A.; Hogan, Anthony R.; Neville, Holly L.; Sola, Juan E.

doi:10.1016/j.jss.2015.03.080

Cited by 7 publications

(6 citation statements)

References 32 publications

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“…[47][48][49][50][51][52][53][54][55][56][57][58][59][60][61][62][63] Of these eight (41.2%) including 302 patients (8.1%) showed a shorter stay for thoracoscopic lung resections. [48][49][50][51][52][53]61 This finding was confirmed in both MAs (evidence level 3a). 64,65 Time to chest drainage removal was described in 17 NRSs.…”

Section: Advantages Of Vatsmentioning

confidence: 98%

“…64,65 Time to chest drainage removal was described in 17 NRSs. 36,37,[48][49][50][51][52][53][56][57][58]60,61,[66][67][68][69] In 11 of them (64.7%), reporting on 388 patients (39.1%) was described faster removal after VATS resection. [48][49][50][51][52][53]61,[66][67][68][69] In one out of two MAs was confirmed faster time to chest drainage removal after VATS compared with CTS (evidence level 3a).…”

Section: Advantages Of Vatsmentioning

confidence: 99%

“…36,37,[48][49][50][51][52][53][56][57][58]60,61,[66][67][68][69] In 11 of them (64.7%), reporting on 388 patients (39.1%) was described faster removal after VATS resection. [48][49][50][51][52][53]61,[66][67][68][69] In one out of two MAs was confirmed faster time to chest drainage removal after VATS compared with CTS (evidence level 3a). 65 Shorter postoperative ventilation, 54,55 less regional anesthesia and narcotics use, shorter time in intensive care unit, 48,49 less blood loss, 53,54 and less overall complications 50,54 were further reported advantages of VATS (evidence level 3b).…”

Section: Advantages Of Vatsmentioning

confidence: 99%

“…Operative time was reported in 14 NRSs, reporting on 1,016 patients. [47][48][49][50][51][52][53][54][57][58][59][60][61][62] In five of them (35.7%), including 455 patients (44.8%) was described longer operative time for thoracoscopic lung resection. 50,[58][59][60][61] This finding could be confirmed in one MA, 64 while in another one no significant difference was found in operative time between thoracoscopic and conventional lung resection.…”

Section: Disadvantages Of Vatsmentioning

confidence: 99%

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Video-Assisted Thoracoscopic or Conventional Thoracic Surgery in Infants and Children: Current Evidence

et al. 2020

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Introduction The pros and cons of video-assisted thoracoscopic versus conventional thoracic surgery in infants and children are still under debate. We assessed reported advantages and disadvantages of video-assisted thoracoscopy in pediatric surgical procedures, as well as the evidence level of the available data. Materials and Methods A systematic literature search was performed to identify manuscripts comparing video-assisted thoracoscopic and the respective conventional thoracic approach in classic operative indications of pediatric surgery. Outcome parameters were analyzed and graded for level of evidence (according to the Oxford Centre of Evidence-Based Medicine). Results A total of 48 comparative studies reporting on 12,709 patients, 11 meta-analyses, and one pilot randomized controlled trial including 20 patients were identified. More than 15 different types of advantages for video-assisted thoracoscopic surgery were described, mostly with a level of evidence 3b or 3a. Most frequently video-assisted thoracoscopic surgery was associated with shorter hospital stay, shorter postoperative ventilation, and shorter time to chest drain removal. Mortality rate and severe complications did not differ between thoracoscopic and conventional thoracic pediatric surgery, except for congenital diaphragmatic hernia repair with a lower mortality and higher recurrence rate after thoracoscopic repair. The most frequently reported disadvantage for video-assisted thoracoscopic surgery was longer operative time. Conclusion The available data point toward improved recovery in pediatric video-assisted thoracoscopic surgery despite longer operative times. Further randomized controlled trials are needed to justify the widespread use of video assisted thoracoscopy in pediatric surgery.

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Section: Advantages Of Vatsmentioning

confidence: 98%

Section: Advantages Of Vatsmentioning

confidence: 99%

Section: Advantages Of Vatsmentioning

confidence: 99%

Section: Disadvantages Of Vatsmentioning

confidence: 99%

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Video-Assisted Thoracoscopic or Conventional Thoracic Surgery in Infants and Children: Current Evidence

et al. 2020

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“…Tanısal torakoskopiden biyopsiye, tümör rezeksiyonundan, akciğer lob veya segment rezeksiyonuna kadar işlem yapılabilir. Başarı, cihazların teknik gelişim, öğrenme eğrisi ve anestezik stratejilerle de ilintilidir (7,8) …”

Section: Introductionunclassified