A comparative study of thoracoscopic and open surgery of congenital diaphragmatic hernia in neonates

Qin, Jing; Ren, Yongying; Ma, Deliang

doi:10.1186/s13019-019-0938-3

Cited by 23 publications

(15 citation statements)

References 22 publications

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“…Length of hospital stay was reported in 11 NRSs comparing 3,499 patients. [14][15][16][17][18][19][20][21][22][23][24] Hospital stay was shorter in patients undergoing VATS diaphragmatic hernia repair in five NRSs (45.5%) including 3,287 patients (93.3%). 14,15,[19][20][21] Postoperative ventilation time was compared in 11 NRSs reporting on 562 patients.…”

Section: Advantages Of Vatsmentioning

confidence: 99%

“…[14][15][16][17][18][19][20][21][22][23][24] Hospital stay was shorter in patients undergoing VATS diaphragmatic hernia repair in five NRSs (45.5%) including 3,287 patients (93.3%). 14,15,[19][20][21] Postoperative ventilation time was compared in 11 NRSs reporting on 562 patients. [14][15][16][17][18][19][20][23][24][25][26] Shorter postoperative ventilation after VATS repair was found in seven studies (63.6%) including 427 patients (45.1%).…”

Section: Advantages Of Vatsmentioning

confidence: 99%

“…14,15,[19][20][21] Postoperative ventilation time was compared in 11 NRSs reporting on 562 patients. [14][15][16][17][18][19][20][23][24][25][26] Shorter postoperative ventilation after VATS repair was found in seven studies (63.6%) including 427 patients (45.1%). 14,15,19,20,23,25,26 hospital stay and shorter postoperative ventilation in patients undergoing VATS were confirmed in two MAs (evidence level 3a).…”

Section: Advantages Of Vatsmentioning

confidence: 99%

“…Recurrence of diaphragmatic hernia was reported in 12 NRSs, including 7,993 patients. [14][15][16][18][19][20][21][22]25,26,30,31 The rate was significantly higher after thoracoscopic repair in five NRSs (41.7%) reporting on 7,611 patients. All MAs confirmed higher recurrence in the VATS group (level of evidence 3a).…”

Section: Disadvantages Of Vatsmentioning

confidence: 99%

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Video-Assisted Thoracoscopic or Conventional Thoracic Surgery in Infants and Children: Current Evidence

et al. 2020

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Introduction The pros and cons of video-assisted thoracoscopic versus conventional thoracic surgery in infants and children are still under debate. We assessed reported advantages and disadvantages of video-assisted thoracoscopy in pediatric surgical procedures, as well as the evidence level of the available data. Materials and Methods A systematic literature search was performed to identify manuscripts comparing video-assisted thoracoscopic and the respective conventional thoracic approach in classic operative indications of pediatric surgery. Outcome parameters were analyzed and graded for level of evidence (according to the Oxford Centre of Evidence-Based Medicine). Results A total of 48 comparative studies reporting on 12,709 patients, 11 meta-analyses, and one pilot randomized controlled trial including 20 patients were identified. More than 15 different types of advantages for video-assisted thoracoscopic surgery were described, mostly with a level of evidence 3b or 3a. Most frequently video-assisted thoracoscopic surgery was associated with shorter hospital stay, shorter postoperative ventilation, and shorter time to chest drain removal. Mortality rate and severe complications did not differ between thoracoscopic and conventional thoracic pediatric surgery, except for congenital diaphragmatic hernia repair with a lower mortality and higher recurrence rate after thoracoscopic repair. The most frequently reported disadvantage for video-assisted thoracoscopic surgery was longer operative time. Conclusion The available data point toward improved recovery in pediatric video-assisted thoracoscopic surgery despite longer operative times. Further randomized controlled trials are needed to justify the widespread use of video assisted thoracoscopy in pediatric surgery.

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Section: Advantages Of Vatsmentioning

confidence: 99%

Section: Advantages Of Vatsmentioning

confidence: 99%

Section: Advantages Of Vatsmentioning

confidence: 99%

Section: Disadvantages Of Vatsmentioning

confidence: 99%

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Video-Assisted Thoracoscopic or Conventional Thoracic Surgery in Infants and Children: Current Evidence

et al. 2020

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“…Considering the development of smaller instruments and training of pediatric and neonatal surgeons, MIS is currently performed in neonates with various congenital anomalies. Thoracoscopic esophageal atresia/tracheoesophageal fistula (EA/TEF) repair,[ 10 11 12 ] Bochdalek and Morgagni-type hernia repairs,[ 13 14 15 16 17 ] and laparoscopic repair of various intestinal malformations[ 18 19 20 ] have been reported. It has also been used for fundoplication with or without gastrostomy tube insertion[ 21 22 ] and for diaphragmatic eventration.…”

Section: Introductionmentioning

confidence: 99%

Experience of minimally invasive surgery in neonates with congenital malformations in a tertiary care pediatric hospital

García¹,

Licona-Islas

López-García

et al. 2020

J Indian Assoc Pediatr Surg

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Aim: The aim of this study is to report the experience with minimally invasive surgery (MIS) in neonates with congenital malformations in a tertiary care pediatric hospital. Materials and Methods: Design: descriptive study. All neonates undergoing MIS from 2013 to 2018 were included in the study. Perinatal data, characteristics of surgery, type and duration of analgesia, postoperative mechanical ventilation duration, postoperative hospitalization, and postoperative morbidity and mortality surgery-related rates were recorded. Results: Seventy-one neonates were included. Gestational age and weight at surgery ranged from 24 to 41 weeks and from 1350 g to 4830 g, respectively. Procedures performed were esophageal atresia/tracheoesophageal fistula repair, congenital diaphragmatic hernia repair, diaphragmatic plication, fundoplication/gastrostomy, intestinal atresia repair, and pancreatectomy. The median follow-up period was 14 months. Five neonates (7%) were converted to open, for surgical difficulties. Nine (12.6%) neonates had intraoperative complications, with decreased oxygen saturation as the most common complication. The median duration of analgesia and postoperative mechanical ventilation was 3 days in most procedures. The morbidity and mortality rates were 36.6% and 2.8%, respectively. Conclusions: In this first experience with MIS in neonates, the duration of analgesia and hospitalization was shorter for some procedures. However, intraoperative and postoperative complications were still high, which was possibly attributed to the learning curve. Thus, it is expected that the frequency of the complications presented in this study will be reduced in future.

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General and Thoracoabdominal Surgery Including Management of Conjoined Twins

Cross

Carachi

Wilmshurst

2023

Neonatal Anesthesia

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A comparative study of thoracoscopic and open surgery of congenital diaphragmatic hernia in neonates

Cited by 23 publications

References 22 publications

Video-Assisted Thoracoscopic or Conventional Thoracic Surgery in Infants and Children: Current Evidence

Video-Assisted Thoracoscopic or Conventional Thoracic Surgery in Infants and Children: Current Evidence

Experience of minimally invasive surgery in neonates with congenital malformations in a tertiary care pediatric hospital

General and Thoracoabdominal Surgery Including Management of Conjoined Twins

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