Thoracoscopic segmentectomy for treatment of congenital lung malformations

Johnson, Sidney M.; Grace, Nalani; Edwards, Mary J.; Woo, Russell; Puapong, Devin P.

doi:10.1016/j.jpedsurg.2011.09.012

Cited by 53 publications

(31 citation statements)

References 26 publications

(28 reference statements)

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“…One death following elective surgery in infancy has been reported 30. Thoracoscopic resection may prove to be advantageous compared with open thoracotomy in terms of regional anaesthesia use, hospital stay and cosmesis,31 32 although high conversion rates (>20%) are reported initially33 and other surgical complication rates are unlikely to be significantly lower 34 35. Segmentectomy of macroscopically involved tissue, rather than anatomical lobectomy, has been reported to result in a higher rate of disease recurrence 11…”

Section: Discussionmentioning

confidence: 99%

Conservative management of antenatally diagnosed cystic lung malformations

Stanwell

Burge

et al. 2014

Archives of Disease in Childhood

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This retrospective cohort study of 74 consecutive CLMs diagnosed antenatally over a 10-year period demonstrates that most of these lesions will remain asymptomatic throughout childhood. Although the natural history of CLMs in later years remains to be elucidated, we hope that this report on medium-term outcomes will be useful to clinicians who undertake antenatal counselling and may inform the discussion on how best to manage these children.

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Section: Discussionmentioning

confidence: 99%

Conservative management of antenatally diagnosed cystic lung malformations

Stanwell

Burge

et al. 2014

Archives of Disease in Childhood

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“…A further two independent reviewers assessed the quality of all included articles using the Rangel scoring system, a validated quality assessment scale (published in 2003) for assessing retrospective pediatric surgical case series. [13] The mean of these scores was used to rank articles as 'poor' (0-15), 'fair' (16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30) or 'good' (31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45) Having undertaken data collection it became apparent that the majority of studies available did not include a measure of variance in the publication. When the measure of interest is a frequency, for example, when looking at the number of complications, it is possible to compute an estimate of the variance of the measure of interest such as the risk ratio from the frequency data.…”

Section: Methodsmentioning

confidence: 99%

Does thoracoscopy have advantages over open surgery for asymptomatic congenital lung malformations? An analysis of 1626 resections

Adams

Jobson

Sangnawakij

et al. 2017

Journal of Pediatric Surgery

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“…We performed surgery in an earlier stage of infancy, namely 1-6 months old to reduce the risk of later complications like respiratory infections and pneumothorax (18). Formal lobectomy is the most commonly accepted surgical option for CPAMs in the current medical era (3) although in recent years some authors have suggested lung-sparing techniques such as segmentectomy by thoracoscopy for these lesions (19,20). However, these strategies comprise an increased risk for an incomplete surgical excision.…”

Section: Discussionmentioning

confidence: 99%

The Surgical Management Strategies in Congenital Pulmonary Airway Malformations: According to the Location of the Pulmonary Involvement

Divarcı¹,

B²,

Dökümcü³

et al. 2018

jpr

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Emre Divarcı, Bade Toker, Zafer Dökümcü, Coşkun Özcan, Ata Erdener ABS TRACT Aim: Treatment of congenital pulmonary airway malformations (CPAMs) consists of different surgical options. In this study, we aimed to report our surgical management strategy according to the location of pulmonary involvement. Materials and Methods: We retrospectively analyzed the medical records of patients who underwent surgery for CPAMs between 2005 and 2015. The data including patient demographics, pre-operative clinical features, surgical management strategies and postoperative results were reviewed. Results: Twenty patients (14 male, 6 female) with a median age of 4 months (1 day-12 years) were operated on. Antenatal diagnosis was positive in 12 patients (60%). The other patients were admitted with a median age of 3.5 years (1 day-12 years). Respiratory infection was seen in four patients (20%). Nine patients underwent early operation due to severe dyspnea and recurrent respiratory infection (45%). Lobectomy was performed on 17 patients with single lobe involvement (85%). Lobectomy for major lesion and segmentectomy for minor lesion was performed on two patients with unilateral multi-lobar involvement. One patient with bilateral multi-lobar involvement required multiple thoracoscopic wedge resections. Two patients who had severe dyspnea before surgery required mechanical ventilation after the operation, and one of them died. Two postoperative complications, empyema and pneumothorax were seen. Mean postoperative follow-up period was 5.5 years. Conclusion: CPAMs must be excised totally due to the risk of pulmonary infection and malignancy. The resection strategy should be decided according to the number of the affected lobes. Lobectomy should be performed in single lobar involvement. Unilateral multi-lobar involvement requires lobectomy for a major lesion and segmentectomy for a minor one. Thoracoscopic multiple wedge resections should be the option in bilateral multi-lobar CPAMs.

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Thoracoscopic segmentectomy for treatment of congenital lung malformations

Cited by 53 publications

References 26 publications

Conservative management of antenatally diagnosed cystic lung malformations

Conservative management of antenatally diagnosed cystic lung malformations

Does thoracoscopy have advantages over open surgery for asymptomatic congenital lung malformations? An analysis of 1626 resections

The Surgical Management Strategies in Congenital Pulmonary Airway Malformations: According to the Location of the Pulmonary Involvement

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