Surgical management of congenital lobar emphysema: A 15 years experience in a tertiary thoracic surgery unit

Mohamed, Essam Elbadry Hashim; Ghaffar, Ayman Mohamed Mohamed Abdel; Abdelaal, Khaled Mohamed; Helmy, Abdelhady Ahmed; Ashry, Mostafa

doi:10.1016/j.jescts.2018.10.001

Cited by 2 publications

(6 citation statements)

References 35 publications

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“…After screening for duplicates and relevance in titles and abstracts, only 109 studies were available for the full-text evaluation for eligibility; 69 studies were excluded after full-text evaluation. Eventually, this review was based on 40 NRCTs, 11 – 50 which encompassed 23 two-arm case-controlled studies, 11 – 33 and 17 single-arm case series. 34 …”

Section: Resultsmentioning

confidence: 99%

“…MINORS scores of nine single-arm studies were higher than 10 points and with high qualities. 34 – 36 , 40 , 42 , 45 , 46 , 48 , 50 …”

Section: Resultsmentioning

confidence: 99%

“…Eventually, this review was based on 40 NRCTs, which encompassed 23 two-arm case-controlled studies, and 17 single-arm case series. [34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50] A flowchart depicting the search strategy is shown in Figure 1.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…MINORS scores of nine single-arm studies were higher than 10 points and with high qualities. [34][35][36]40,42,45,46,48,50 Correlation between symptomatic percentage and conversion using VATS A total of 11 studies were involved for Pearson analysis, which was used to evaluate the correlation between percentage of symptomatic cases and conversion in patients who underwent VATS. It turned out that the Pearson correlation coefficient was 0.92 (95% CI, 0.71-0.98, P < 0.0001) and R square was 0.84 (Figure 5A).…”

Section: Risk Of Biasmentioning

confidence: 99%

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Is thoracoscopy superior to thoracotomy in the treatment of congenital lung malformations? An updated meta-analysis

Xie¹,

2020

Ther Adv Respir Dis

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Background: A meta-analysis was performed for a comparison of outcomes between video-assisted thoracoscopic surgery (VATS) and thoracotomy for congenital lung malformations (CLM). Methods: Electronic databases, including PubMed, Scopus, Embase, and the Cochrane Library were searched systematically for literature aimed mainly at reporting the therapeutic effects for CLM administrated by VATS and thoracotomy. Results: A total of 40 studies meeting the inclusion criteria were included, involving 2896 subjects. VATS was associated with fewer complications [odds ratio (OR) 0.54; 95% confidence interval (CI), 0.42–0.69], less use of epidural anesthesia (OR, 0.08; 95% CI, 0.03–0.23), shorter length of hospital stay [standard mean difference (SMD) −0.98; 95% CI, −1.4 to −0.55] and chest drainage (SMD, −0.43; 95% CI, −0.7 to −0.17), as compared with thoracotomy. However, thoracotomy showed superiority in reduced operative time (SMD, 0.44; 95% CI, 0.04–0.84). Pearson analysis (Pearson r = 0.85, 95% CI, 0.28 to 0.98, p = 0.01) and linear regression ( R square 0.73) confirmed a positive correlation between percentage of symptomatic cases and conversion in patients using VATS. Conclusion: VATS is associated with fewer complications, less use of epidural anesthesia, shorter length of stay and length of chest drainage, but longer operative time, as compared with thoracotomy. Symptomatic patients with CLM using VATS may be prone to conversion to thoracotomy. The reviews of this paper are available via the supplemental material section.

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Section: Resultsmentioning

confidence: 99%

“…MINORS scores of nine single-arm studies were higher than 10 points and with high qualities. 34 – 36 , 40 , 42 , 45 , 46 , 48 , 50 …”

Section: Resultsmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Risk Of Biasmentioning

confidence: 99%

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Is thoracoscopy superior to thoracotomy in the treatment of congenital lung malformations? An updated meta-analysis

Xie¹,

2020

Ther Adv Respir Dis

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“…[1] In previous studies, the left upper lobe is the most commonly involved lobe, followed by the right middle lobe and rare bilateral involvement. Left upper lobe involvement has been reported as 33% [2], 50% [3], and even 66% [12] with a varied range. Similarly, in our series, the left upper lobe was most commonly involved (89%) but no bilateral case was observed.…”

Section: Discussionmentioning

confidence: 99%

Congenital lobar emphysema in children: Institutional experience and errors to be avoided in the management

Iqbal

Liaqat

Saleem³

et al. 2021

J Pediatr Adolesc Surg

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Background: Congenital Lobar emphysema (CLE) is one of the rarest cystic lesions in the thoracic cavity among children. It is often misdiagnosed and managed incorrectly. We are reporting our institutional experience and recommendations regarding the prevention of common errors in the management of this condition. Methods: This study was conducted at the Paediatric Surgery Department, The Children’s Hospital & the University of Child Health Sciences Lahore from January 2015 to December 2018. All the patients who underwent thoracotomy for congenital lobar emphysema at our center were included in the study and their charts were reviewed. Results: A total of 19 patients had been treated at our center in this duration. The mean age of patients was 2.85 ± 2.11 months. Thirteen of them (68%) were male and the most common presenting complaint (94.7%) was respiratory distress. Chest X-ray was done in all of the patients while a CT scan was needed in 11 patients (57.9%). The most involved lobe was left upper (n=15). Lobectomy was done in all patients. Post-operative ventilation was required in 2 patients (10.5%) and pneumonia developed in 2 patients (10.5%). The most significant complication was wound infection (9/19, p=<0.01). Conclusion: Our results about perioperative management are consistent, however, we received cases with misdiagnosis. We have proposed recommendations to address this issue.

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Surgical management of congenital lobar emphysema: A 15 years experience in a tertiary thoracic surgery unit

Cited by 2 publications

References 35 publications

Is thoracoscopy superior to thoracotomy in the treatment of congenital lung malformations? An updated meta-analysis

Is thoracoscopy superior to thoracotomy in the treatment of congenital lung malformations? An updated meta-analysis

Congenital lobar emphysema in children: Institutional experience and errors to be avoided in the management

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