2001
DOI: 10.1053/jpsu.2001.20705
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Experience with video-assisted thoracoscopic surgery in the management of complicated pneumonia in children

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Cited by 55 publications
(37 citation statements)
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“…In addition, thoracoscopy has many advantages over thoracotomy, especially in children (4,29) : less postoperative pain; early return to activities; reduced parental anxiety regarding postoperative care and length of hospital stay; less likelihood of pulmonary resection; less need for blood transfusion; excellent aesthetic results; and prevention of thoracotomy-related sequelae, encouraging pediatricians and pulmonologists to refer children with complicated parapneumonic pleural effusion for surgical evaluation in a more timely manner.…”
Section: Discussionmentioning
confidence: 99%
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“…In addition, thoracoscopy has many advantages over thoracotomy, especially in children (4,29) : less postoperative pain; early return to activities; reduced parental anxiety regarding postoperative care and length of hospital stay; less likelihood of pulmonary resection; less need for blood transfusion; excellent aesthetic results; and prevention of thoracotomy-related sequelae, encouraging pediatricians and pulmonologists to refer children with complicated parapneumonic pleural effusion for surgical evaluation in a more timely manner.…”
Section: Discussionmentioning
confidence: 99%
“…This artificial pneumothorax created by intrathoracic insufflation with carbon dioxide compresses the lung in such a way that selective intubation, often difficult in small children, is unnecessary. (29,30) It is important remain on the alert for decreased ventilation or hemodynamic instability during insufflation with carbon dioxide; in such cases, it is advisable to reduce carbon dioxide pressure or even discontinue its use. (20) All of the video-thoracoscopic procedures in this study were performed using only two trocars.…”
Section: Discussionmentioning
confidence: 99%
“…Com a crescente utilização da videocirurgia pediátrica, a toracoscopia tornou-se o procedimento ideal para crianças com derrame complicado em estágio fibrinopurulento, apresentando inúmeras vantagens em relação a toracotomia, como: menos dor pós-operatória e retorno mais precoce às atividades; reduz a ansiedade dos pais no cuidado pós-operatório e o tempo de internação das crianças; reduz a possibilidade de ressecção de parênquima pulmonar e a necessidade de transfusão sangüínea; evita toracotomia e suas seqüelas, com ótimo resultado estético; encoraja pediatras a encaminharem pacientes com derrame complicado precocemente para avaliação cirúrgica 25 .…”
Section: Toracotomiaunclassified
“…A indicação da toracoscopia foi a presença de derrame loculado, diagnosticado pela insuficiência de drenagem de todo o líquido através da toracocentese, ou através de radiografia de tórax, ecografia ou tomografia computadorizada 28 . Subramaniam et al 25 recentemente compararam toracoscopia com toracotomia em crianças com empiema, e observaram que a toracoscopia reduz significativamente o tempo cirúrgico, a necessidade de ressecções pulmonares, a perda sangüínea transoperatória e a necessidade de transfusão de sangue, a necessidade de analgésicos, a duração da drenagem torácica e o tempo de internação hospitalar.…”
Section: Toracoscopiaunclassified
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