Bilateral staged versus bilateral simultaneous thoracotomy in the pediatric population

Zarroug, Abdalla E.; Hamner, Chad E.; Pham, Tuan H.; Houghton, Scott G.; Stavlo, Penny; Moir, Christopher R.; Rodeberg, David A.

doi:10.1016/j.jpedsurg.2005.12.003

Cited by 12 publications

(22 citation statements)

References 10 publications

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“…Thanks to the experience of thoracic surgeons, an alternative treatment was proposed to avoid two consecutive anesthesias and the consequent risks of thoracic surgery, as well as to shorten the delay before administration of adjuvant chemotherapy, when required. This treatment included bilateral simultaneous thoracotomy or median sternotomy [8,9,11]. However, no reports exist on experiences with BAT in children or adolescents with this indication.…”

Section: Discussionmentioning

confidence: 99%

“…It was hypothesized that a one-stage approach could lead to better outcomes, as it avoids a second procedure (including anesthetic risks) and reduces the delay before administration of adjuvant chemotherapy. This one-stage approach has been reported in the pediatric population [8,9,11]. …”

Section: Discussionmentioning

confidence: 99%

“…In the longer scenario, adjuvant therapies were then postponed for a further month. For these reasons, one-stage procedures such as median sternotomy [8] or bilateral simultaneous thoracotomy [9] have been proposed, but we found no data concerning bilateral anterior thoracotomy (BAT) for this indication in the relevant pediatric literature.…”

Section: Introductionmentioning

confidence: 99%

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Bilateral anterior sternothoracotomy (clamshell incision): a suitable alternative for bilateral lung sarcoma metastasis in children

et al. 2014

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BackgroundThe aim of our study was to assess the postoperative course of bilateral anterior sternothoracotomy (BAT) in children with sarcoma metastases, in a curative care perspective.MethodsWe reviewed the records of seven patients younger than 18 years old, who underwent surgical procedures for sarcoma metastasis to the lung between 2000 and 2012. We compared the postoperative course of the BAT group with that of patients who underwent unilateral posterolateral thoracotomies (PLTs) for the same etiology.ResultsOf 17 surgical procedures, there were seven BAT and 10 unilateral PLT. Mean ages at the time of the procedures were 12.9 ± 5.4 years old for BAT, and 17.4 ± 1.9 years old for PLT. Mean operative time was 173 ± 37 minutes in the BAT group, and 145 ± 39 minutes in the PLT group (P = 0.19). Patients received epidural analgesia in all cases; this was for a mean time of 3.8 ± 1.3 days in the BAT group, and 3.21 ± 4 days in the PLT group (P = 0.36). Chest tubes were removed after 3.6 ± 1.3 days in the BAT group, and 3 ± 1.2 days in the PLT group (P = 0.69). Total hospital stay was 7.7 ± 6.6 days in the BAT group, and 7 ± 1.2 days in the PLT group (P = 0.72).ConclusionIn our experience, BAT seems suitable and shows outcomes similar to those of PLT for sarcoma metastasis resection. The BAT procedure allows the manual exploration of both lungs during a single surgical intervention, and so reduces the delay of further therapies.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Bilateral anterior sternothoracotomy (clamshell incision): a suitable alternative for bilateral lung sarcoma metastasis in children

et al. 2014

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“…A recent study in a pediatric cohort examined bilateral simultaneous thoracotomies for the resection of bilateral pulmonary metastases [8]. The authors suggested that there was an increased risk of leaving disease behind after median sternotomy.…”

Section: Discussionmentioning

confidence: 99%

“…This approach has been traditionally promoted because it provides excellent access to both lung fields. Other methods, such as thoracoscopy and bilateral simultaneous thoracotomy, have also been recently described [8]. Although a median sternotomy is less frequently used in children, it has been documented in the adult literature as an alternative approach that affords good operative access [9][10][11][12].…”

mentioning

confidence: 99%

Median sternotomy for bilateral pulmonary metastasectomy in children

Tsai

Mattei

2012

Journal of Pediatric Surgery

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Current Surgical Approach to Pulmonary Metastasectomy

Corkum,

Craig,

Piche

et al. 2024

Pediatric Blood & Cancer

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The lung is a common site of metastases for children and adolescents with a wide variety of solid tumors. The role for pulmonary metastasectomy is dictated by tumor histology and can serve either therapeutic or diagnostic purposes. Careful surgical planning is required to determine the optimal surgical approach and to ensure successful nodule localization. While high level data are limited, in appropriate situations pulmonary metastasectomy can confirm staging, guide therapy, improve survival, and reduce the need for other therapy escalations.

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Bilateral staged versus bilateral simultaneous thoracotomy in the pediatric population

Cited by 12 publications

References 10 publications

Bilateral anterior sternothoracotomy (clamshell incision): a suitable alternative for bilateral lung sarcoma metastasis in children

Bilateral anterior sternothoracotomy (clamshell incision): a suitable alternative for bilateral lung sarcoma metastasis in children

Median sternotomy for bilateral pulmonary metastasectomy in children

Current Surgical Approach to Pulmonary Metastasectomy

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