Video-assisted thoracic surgery for primary spontaneous pneumothorax in children: is there an optimal technique?

Bialas, Ryan C.; Weiner, Timothy M.; Phillips, J. Duncan

doi:10.1016/j.jpedsurg.2008.08.041

Cited by 59 publications

(58 citation statements)

References 21 publications

(39 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In fact, VATS is associated with lower morbidity, decreased pain, and shorter hospital stays. 5,[14][15][16] Considering the higher rate of recurrence, especially in paediatric PSP, determining the predictive factors of recurrence could be useful for selecting patients who may benefit from early surgical referral to prevent recurrence and reduce hospital stays.…”

Section: Discussionmentioning

confidence: 99%

“…However, the role of bullae or blebs in the development of recurrent pneumothorax is unclear, and some authors proposed that the decision for surgical intervention should be based on documented recurrence only. 5,10,20,21) The incidence of blebs/bullae on HRCT scans in paediatric population studies was reported to range from 30.8% to 100%, 6,14,17,19,20,22) and the recurrence rate after conservative treatment in patients with air-containing lesions was reported to range from 50% to 100% (Table 4). 6,17,19) These results are consistent with the results of our study of an incidence of blebs/bullae on HRCT scans of 55.3% (63/114) and the 60.3% recurrence rate associated with blebs/bullae on HRCT scans.…”

Section: Discussionmentioning

confidence: 99%

“…VATS is safe and is the most effective treatment method for PSP in children. 5,6,[14][15][16] Some authors have recommended that preventive VATS may be considered if air-containing lesions are detected on initial HRCT scans. 6,17) However, this surgical approach for air-containing lesions to prevent recurrence has two major problems.…”

Section: Discussionmentioning

confidence: 99%

“…Second, postoperative recurrence in children was reported to be slightly higher than in adults. 5,14,16,26) …”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

What Factors Predict Recurrence after an Initial Episode of Primary Spontaneous Pneumothorax in Children?

Choi

Park

Song

et al. 2014

ATCS

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Second, postoperative recurrence in children was reported to be slightly higher than in adults. 5,14,16,26) …”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

What Factors Predict Recurrence after an Initial Episode of Primary Spontaneous Pneumothorax in Children?

Choi

Park

Song

et al. 2014

ATCS

View full text Add to dashboard Cite

“…The available options include passive oxygen therapy and rest, thoracocentesis with a one-time evacuation of air from the pleural cavity, and pleural drainage (passive or using negative pressure) [1].…”

Section: Introductionmentioning

confidence: 99%

Thoracic surgery Thoracoscopy in the treatment of spontaneous pneumothorax in children

Grabowski¹,

Korlacki²,

Pasierbek³

et al. 2013

kitp

View full text Add to dashboard Cite

StreszczenieWstęp: Obowiązującym standardem postępowania w przypadku odmy samoistnej występującej u dzieci jest leczenie zachowawcze. Istotny problem kliniczny stanowią pacjenci, u których dochodzi do dopełniania się odmy, oraz pacjenci z nawrotowymi zmianami. Zabieg chirurgiczny uprzednio wykonywany drogą torakotomii klasycznej obecnie przeprowadza się z dostępu torakoskopowego. Cel pracy: Analiza skuteczności zastosowania torakoskopowych interwencji operacyjnych u dzieci z samoistną odmą opłucnową. Materiał i metody: Praca została oparta na retrospektywnej ocenie dokumentacji 46 pacjentów operowanych z powodu odmy samoistnej w latach 1997-2012. W ocenie wzięto pod uwagę dane demograficzne pacjentów, długość pobytu szpitalnego, rodzaj procedury operacyjnej oraz oceniono bezpośredni i odległy przebieg pooperacyjny, ze szczególnym zwró-ceniem uwagi na nawrót patologii. Wyniki: W latach 1996-2011 leczono operacyjnie z powodu odmy samoistnej 46 pacjentów (11 dziewcząt i 35 chłopców). Średnia wieku wyniosła 15,48 roku (zakres: 11-18 lat), średnia masa ciała 58,7 kg (zakres 33-76 kg). Z powodu odmy samoistnej wykonano łącznie 52 zabiegi torakoskopowe u 46 pacjentów. U 5 pacjentów konieczna była interwencja z powodu nawrotu odmy opłucnowej po stronie przeciwległej. Czas hospitalizacji po zabiegu obejmował 3-33 dni, średnio 7,35 dnia. Nie było zgonów. Powikłania w czasie hospitalizacji wystąpiły u 8 pacjentów (17,4%). Wnioski: Małoinwazyjne torakoskopowe interwencje w przypadku samoistnej odmy opłucnowej u dzieci są skuteczną i bezpieczną metodą leczenia. Dają znikome ryzyko nawrotu choroby, co zmniejsza narażenie dziecka na kolejne powtarzane punkcje lub drenaże jamy opłucnej. Słowa kluczowe: odma samoistna, torakoskopia, dzieci. THORACIC SURGERY AbstractBackground: Spontaneous pneumothorax occurring in children is routinely treated in a conservative manner. An important clinical problem is to find solutions for patients with persistent or recurrent pneumothorax. The surgery previously executed with classic thoracotomy is now performed with thoracoscopic access. The aim of this study was to analyze the effectiveness of thoracoscopic interventions in children with spontaneous pneumothorax. Material and methods: The work was based on a retrospective evaluation of the records of 46 patients operated on for spontaneous pneumothorax in the years 1997-2012. The assessment takes into account patient demographics, length of hospital stay, and the type of surgical procedure. The immediate and long-term postoperative period was followed, with particular attention paid to pathology recurrence. Results: In the years 1996-2011, 46 patients (11 girls and 35 boys) were treated surgically for spontaneous pneumothorax. The average age was 15.48 years (range: 11-18 years), mean weight -58.7 kg (range 33-76 kg). 52 thoracoscopic procedures were performed in 46 patients. In 5 patients, interventions for recurrent pneumothorax on the opposite side were necessary. Time of hospital stay after surgery ranged from 3 to 33 days (average of 7.3...

show abstract

Video-assisted thoracoscopic treatment of primary spontaneous pneumothorax in older children and adolescents

et al. 2016

View full text Add to dashboard Cite

show abstract

Video-assisted thoracic surgery for primary spontaneous pneumothorax in children: is there an optimal technique?

Cited by 59 publications

References 21 publications

What Factors Predict Recurrence after an Initial Episode of Primary Spontaneous Pneumothorax in Children?

What Factors Predict Recurrence after an Initial Episode of Primary Spontaneous Pneumothorax in Children?

Thoracic surgery Thoracoscopy in the treatment of spontaneous pneumothorax in children

Video-assisted thoracoscopic treatment of primary spontaneous pneumothorax in older children and adolescents

Contact Info

Product

Resources

About