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J Pediatr Surg. 2008 Jan;43(1):40-4; discussion 45. doi: 10.1016/j.jpedsurg.2007.09.015.

First decade's experience with thoracoscopic lobectomy in infants and children.

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1
The Rocky Mountain Hospital for Children, Denver, CO 80111, USA. steverberg@aol.com

Abstract

PURPOSE:

This study evaluates the safety and efficacy of thoracoscopic lobectomy in infants and children.

METHODS:

From January 1995 to March 2007, 97 patients underwent video-assisted thoracoscopic lobe resection. Ages ranged from 2 days to 18 years and weights from 2.8 to 78 kg. Preoperative diagnosis included sequestration/congenital adenomatoid malformation (65), severe bronchiectasis (21), congenital lobar emphysema (9), and malignancy (2).

RESULTS:

Of 97 procedures, 93 were completed thoracoscopically. Operative times ranged from 35 minutes to 210 minutes (average, 115 minutes). There were 19 upper, 11 middle, and 67 lower lobe resections. There were 3 intraoperative complications (3.1%) requiring conversion to an open thoracotomy. Chest tubes were left in 88 of 97 procedures for 1 to 3 days (average, 2.1 days). Hospital stay ranged from 1 to 12 days (average, 2.4 days).

CONCLUSIONS:

Thoracoscopic lung resection is a safe and efficacious technique. It avoids the inherent morbidity of a major thoracotomy incision and is associated with the same decrease in postoperative pain, recovery, and hospital stay as seen in minimally invasive procedures.

PMID:
18206453
DOI:
10.1016/j.jpedsurg.2007.09.015
[Indexed for MEDLINE]
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