Thoracoscopic vs Open Lobectomy in Infants and Young Children with Congenital Lung Malformations

Kunisaki, Shaun M.; Powelson, Ian A.; Haydar, Bishr; Bowshier, Brian C.; Jarboe, Marcus D.; Mychaliska, George B.; Geiger, James D.; Hirschl, Ronald B.

doi:10.1016/j.jamcollsurg.2013.10.010

Cited by 76 publications

(69 citation statements)

References 54 publications

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“…In contrast to a recently published series comparing thoracoscopic to open lobectomy, the operative time and the need for conversion were not associated with size or age [13]. In fact, comparing this experience with our unpublished experience with thoracoscopic lobectomy in older patients, it is our opinion that the procedure is easier in smaller babies.…”

Section: Discussioncontrasting

confidence: 77%

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The first 100 infant thoracoscopic lobectomies: Observations through the learning curve and comparison to open lobectomy

Laje

Pearson

Simpao

et al. 2015

Journal of Pediatric Surgery

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Section: Discussioncontrasting

confidence: 77%

“…Few series of thoracoscopic lobectomy in infants have been published to date [5][6][7][8]. Furthermore, there are only a handful of reports comparing thoracoscopic versus open lobectomy in infants [9][10][11][12][13]. Most published reports combine older and younger patients, diverse thoracic pathology, or multiinstitutional experience.…”

Section: Discussionmentioning

confidence: 99%

The first 100 infant thoracoscopic lobectomies: Observations through the learning curve and comparison to open lobectomy

Laje

Pearson

Simpao

et al. 2015

Journal of Pediatric Surgery

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“…OLV is feasible, but not mandatory: small children often do not tolerate it and VATS may be performed with conventional ventilation and comparable results [6]. Some benefits of VATS are undisputed, such as cosmetic, musculoskeletal benefits and reduction of postoperative pain; others are the subject of debate, such as length of hospital stay and rate of complications: some authors found no differences in hospital length of stay, chest tube duration and short-term complication rate between thoracoscopy and open access surgery [3,24]; recent meta-analysis shows that hospital stay and the persistence of the chest tube are of longer duration af-FOB, the Arndt blocker 5Fr is inserted through its port in the adaptor before the tracheal tube, thus remaining outside of the tracheal tube. In this way, the extraluminal placement of the blocker leaves more room for ventilation.…”

Section: Discussionmentioning

confidence: 99%

“…This surgical choice led anesthesiologists to change their usual anesthetic technique: indeed, a thoracotomy does not always require lung separation and collapse in infants [3].…”

mentioning

confidence: 99%

The Different Approaches of Single Lung Ventilation in Infants with Pulmonary Malformation

Tognon¹,

Meneghini²,

Fascetti³

et al. 2018

Int J Pediatr Res

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Since many years, feasibility and safety of thoracoscopic surgery in infants with pulmonary malformations has been confirmed. Nevertheless, infants present some problems caused by the anatomical and physiological peculiarities typical of the age and of the size of the structures. Several ways to overcome these difficulties have been proposed to assure efficacy and safety of mono-pulmonary ventilation. The knowledge of the infant's respiratory physiology is essential to prevent complications and eventually to treat them. In the same way the technical skill with all the available tools is mandatory for the airway management.

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“…Despite these attractive benefits, a technically demanding operation, small working area, and anesthesia worries in pediatric patients due to the difficulty of single lung ventilation make surgeons think twice before thoracoscopic surgery (4,5).…”

Section: Discussionmentioning

confidence: 99%

Minimal Invasive Surgery for Pediatric Thoracic Pathologies

Ateş¹,

Ergün²,

Göllü³

et al. 2017

Turkish J Pediatr Dis

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Objective: The purpose of this study was to discuss minimal invasive surgical options for surgical thoracic pathologies in the pediatric age group. Material and Methods:A retrospective analysis was performed for 45 patients who had undergone thoracoscopic surgery by a single surgeon. The underlying pathologies, surgical procedures and anesthetic aspects and postoperative outcomes were analyzed.Results: Forty-five children underwent thoracoscopic surgery in a ten-year period. The conditions requiring thoracoscopic surgery were congenital diaphragmatic hernia (CDH), esophageal atresia (EA), congenital malformations, pulmonary and mediastinal masses, empyema, spontaneous pneumothorax, and interstitial lung diseases. There were 21 girls and 24 boys. The mean age of the children except the CDH and EA cases was 4.5 years (n=33, 2 months to 17 years). The mean age of the children with CDH and EA was 5.5 days (n=12, 1 day to 8 months). There were 6 conversions in total. The mean chest tube removal time was 6 days (1-24 days). The mean hospital stay was 9 days (3-34 days). Conclusion:Thoracoscopy in the pediatric age group is safe and feasible in experienced hands. Each child and condition should be evaluated individually to avoid complications.

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Thoracoscopic vs Open Lobectomy in Infants and Young Children with Congenital Lung Malformations

Cited by 76 publications

References 54 publications

The first 100 infant thoracoscopic lobectomies: Observations through the learning curve and comparison to open lobectomy

The first 100 infant thoracoscopic lobectomies: Observations through the learning curve and comparison to open lobectomy

The Different Approaches of Single Lung Ventilation in Infants with Pulmonary Malformation

Minimal Invasive Surgery for Pediatric Thoracic Pathologies

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