A Novel Surgical Method for Congenital Lung Malformations: A Pilot Study

Miao, Yuan; Xu, Chang; Luo, Dengke; Cheng, Kaisheng; Yang, Gang; He, Taozhen

doi:10.1053/j.semtcvs.2022.06.017

Cited by 5 publications

(3 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…10 TALR has a great advantage in this regard, as mentioned in our recently published report. 11 The key to this surgical approach was to segment the boundary between normal and lesion tissue (Figure 3). For ILS, the external boundary is more obvious when the abnormal blood supply artery is cut off because of ischemia and can be compared with the external boundary recognized by the naked eye, so TALR was more suitable to perform on ILS.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Ten‐year experience in the clinical management of intralobar pulmonary sequestration in children

Liu

Cheng

et al. 2022

Pediatric Pulmonology

Self Cite

View full text Add to dashboard Cite

Objectives Intralobar pulmonary sequestration (ILS) is rare and its optimal clinical management remains ambiguous. This study aimed to introduce our 10‐year experience in clinical management of ILS. And the application of our novel surgical method, thoracoscopic anatomical lesion resection (TALR) on ILS was introduced. Materials and Methods Patients with ILS who received treatment between December 2010 and 2020 were included in this study, retrospectively. A binary logistic regression model was used to assess risk factors for preoperative symptoms. Intraoperative and postoperative outcomes were compared between the thoracoscopic lobectomy and lung‐sparing surgery groups. Results A total of 112 patients were included in this study. Age and maximum cyst diameter were risk factors for preoperative symptoms. Lung‐sparing surgery proved to be safe and feasible with no residual lesions. Conclusions The overall prognosis of early thoracoscopic surgery for ILS was good. Lung‐sparing surgery, especially TALR could be used as a first‐line surgery for ILS. It may resolve the long‐standing controversy over whether surgery for asymptomatic patients with ILS.

show abstract

Section: Resultsmentioning

confidence: 99%

“…Therefore, the resection of normal lung tissue should be reduced, which can preserve the normal lung volume and lung function 10 . TALR has a great advantage in this regard, as mentioned in our recently published report 11 . The key to this surgical approach was to segment the boundary between normal and lesion tissue (Figure 3).…”

Section: Discussionmentioning

confidence: 99%

Ten‐year experience in the clinical management of intralobar pulmonary sequestration in children

Liu

Cheng

et al. 2022

Pediatric Pulmonology

Self Cite

View full text Add to dashboard Cite

show abstract

“…Therefore, other surgical methods are more suitable for these patients. Some researchers have recently proposed surgical methods, such as “modified wedge resection” and “anatomical lesion resection.” Theoretically, the core of these surgical methods is to perform precise resection of the lesion via inter-segmental veins as the internal boundary and the natural boundary between the lesion and normal tissue as the external boundary, rather than being limited to precise segmentectomy [ 23 , 24 ]. Therefore, it is worth exploring whether this surgical method is more advantageous in treating CLM with large cysts.…”

Section: Discussionmentioning

confidence: 99%

Initial experience of thoracoscopic segmentectomy of basal segment through the inferior pulmonary ligament approach in treating congenital lung malformations in children

Guo,

Liu,

Zhai

et al. 2023

BMC Pediatr

View full text Add to dashboard Cite

Purpose This study aimed to evaluate the feasibility and limitations of thoracoscopic segmentectomy of the basal segment (S10). Methods Clinical data of 15 children with congenital lung malformations (CLM) who underwent thoracoscopic segmentectomy of S10 via the inferior pulmonary ligament approach from January to October 2022 were retrospectively analyzed. The demographics, clinical presentation, intraoperative time, blood loss, postoperative events, and follow-up duration were assessed. Results There were 15 patients in this group (nine males and six females). Age ranges from 4.3 to 96.0 months (median, 7.7 months). Fourteen patients underwent S10 segmentectomy, with one undergoing right S10 segmentectomy and right S6 partial wedge resection. The surgical time was 57–125 min (median, 80 min), intraoperative bleeding volume (5–20 ml; median, 10 ml), postoperative drainage tube indwelling (2–4 d; median, 3 d), and postoperative hospitalization time (4–7 d; median, 5 d). No intraoperative conversions, surgical mortalities, or major complications were observed among these patients. Subcutaneous emphysema appeared in three patients; however, it disappeared following conservative observation without pneumothorax or bronchopleural fistula occurrence. Conclusions Thoracoscopic segmentectomy of S10 via the inferior pulmonary ligament approach is technically feasible for treating CLM; however, this surgical approach may have certain limitations for CLM with large cysts.

show abstract

Sublobar Pulmonary Resection in Children With Congenital Lung Abnormalities: A Systematic Review

Kersten,

Rousian,

Wesseling

et al. 2023

Journal of Pediatric Surgery

View full text Add to dashboard Cite

A Novel Surgical Method for Congenital Lung Malformations: A Pilot Study

Cited by 5 publications

References 13 publications

Ten‐year experience in the clinical management of intralobar pulmonary sequestration in children

Ten‐year experience in the clinical management of intralobar pulmonary sequestration in children

Initial experience of thoracoscopic segmentectomy of basal segment through the inferior pulmonary ligament approach in treating congenital lung malformations in children

Sublobar Pulmonary Resection in Children With Congenital Lung Abnormalities: A Systematic Review

Contact Info

Product

Resources

About