Pulmonary sublobar resections in pediatric patients

Döngel, İsa

doi:10.5606/tgkdc.dergisi.2014.8470

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…We utilized sublobar resection in 55 of 59 (93.2 %) cases. As stated in the study performed by Döngel et al, sublobar resections are a suitable option for pediatric pulmonary metastasectomy [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

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Pulmonary metastasectomy in pediatric patients

et al. 2015

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BackgroundThis study aims to evaluate the outcomes of pulmonary metastasectomy resections in pediatric patients.MethodsWe retrospectively reviewed the medical records of 43 children who were operated on in the Pediatric Surgery Clinic between January 1988 and 2014. Forty-three children (26 boys; 17 girls; mean age 10 ± 4.24 years, range 6 months–18 years) who underwent pulmonary metastasectomy resection were included in the study. The patients were evaluated based on age, gender, history of disease, surgical procedures, complications, duration of hospitalization, duration of chest tube placement, and procedure outcome.ResultsIndications for pediatric resections were oncological. Metastasis was secondary to Wilms’ tumor in 14 patients, osteosarcoma in 7 patients, Ewing’s sarcoma in 5 patients, rhabdomyosarcoma in 5 patients, lymphoma in 3 patients, hepatoblastoma in 2 patients, and other tumors in 7 patients. A total of 59 thoracotomies were performed. Approaches utilized included unilateral posterolateral thoracotomy (n = 33), bilateral posterolateral thoracotomy (n = 8), and sternotomy (n = 2). Wedge resection was the procedure of choice (n = 44). In selected cases, 11 segmentectomies, 3 lobectomies, and 1 pneumonectomy were performed. There was no perioperative mortality. One patient suffered prolonged air leak and three patients from fever. All patients received chemotherapy. Radiotherapy was administered to 16 patients (37.2 %). Of those 16 patients, 7 had Wilms’ tumor, 6 had Ewing’s sarcoma/PNET, and 3 were rhabdomyosarcoma patients. During a median follow-up of 3 years, the overall survival was 74.4 %.ConclusionsMultidisciplinary treatment involving pediatric oncologists, surgeons, and radiation oncologists is necessary to obtain positive results in children who have pulmonary metastases of oncological diseases. Wedge resection is a suitable option for children because less lung tissue is resected.

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Section: Discussionmentioning

confidence: 99%

“…Surgical excision is the gold standard in the pediatric metastases of pediatric age tumors. The loss of lung parenchyma and blood is important as it causes an increase in postoperative complications and morbidity [ 1 ]. Surgical excision is necessary to preserve the maximum amount of lung parenchyma but avoid local recurrence of disease.…”

Section: Introductionmentioning

confidence: 99%

Pulmonary metastasectomy in pediatric patients

et al. 2015

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“…[4] Meanwhile, sublobar parenchymal-saving resections have been also increasingly adopted. [5] Sublobar resections include resections containing part of a lobe (segmentectomy or wedge resection). Sublobar resections can be successfully performed in CCAMs via thoracoscopy.…”

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confidence: 99%

Pulmonary sublobar resections in children with congenital cystic adenomatoid malformations

Erginel¹

2015

Turk Gogus Kalp Dama

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Bu çalışmada pediatrik hastalarda doğuştan kistik adenomatoid malformasyonlar (DKAM) nedeni ile yapılan pulmoner sublober rezeksiyonların sonuçları değerlendirildi. Ça lış ma pla nı: Ocak 1999-Aralık 2012 tarihleri arasında kliniğimizde DKAM nedeni ile cerrahi uygulanan 20 çocuk (11 erkek, 9 kız; ort. yaş 5.48 yıl; dağılım 39 gün-18 yıl) retrospektif olarak incelendi. On bir hastaya lobektomi (grup 1) ve dokuz hastaya altısı torakoskopik rezeksiyon ve üçü açık segmentektomi olmak üzere sublober rezeksiyon (grup 2) yapıldı. Yaş, cinsiyet, patolojik tanı, lezyonun yeri, cerrahi işlem, lezyonun büyüklüğü, göğüs tüpü süresi, hastanede kalış süresi ve cerrahi sonrası komplikasyonlara ilişkin veri toplandı. Bul gu lar: Lobar ve sublober rezeksiyon yapılan iki grup arasında demografik açıdan istatistiksel olarak anlamlı fark olmamasına rağmen sublobar rezeksiyon yapılan grupta göğüs tüp kalış (sırası ile 5.3±0.5 gün, 3.6±1.9 gün), hastanede kalış süresi (sırası ile 7.5±0.7, 4.8±2.2) anlamlı olarak azalmıştı (p<0.05). So nuç: Deneyimimize göre, hem lober hem de sublober rezeksiyonların klinik sonuçları benzer idi. Bu neden ile sublober rezeksiyonlar torakoskopik olarak kolaylıkla gerçekleştirilebilir ve DKAM'lı pediatrik hastalara güvenli bir şekilde uygulanabilir. Anah tar söz cük ler: Doğuştan kistik adenomatoid malformasyon, sublober rezeksiyon; torakoskopi.

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Thoracic surgery in children and adolescents: Experience from the thoracic surgery unit of a single referral center

Hemead,

Mamdouh,

Allam

et al. 2024

Turk Gogus Kalp Dama

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Background: The study aimed to highlight and evaluate thoracic surgical procedures performed in children and adolescents and demonstrate the extent to which thoracic surgeons can benefit this population. Methods: This retrospective study included 200 pediatric patients (100 males, 100 females; mean age: 14.7±6.7 years; range, 1 month to 21 years) who underwent thoracic surgery between January 2018 and January 2023. Patients’ indications for surgery, surgical approach, complications, length of hospital stay, need for intensive care admission, and mortality were evaluated. Results: The most commonly performed surgery was sympathectomy (30.5%), followed by decortication (16%) and traumatic exploration (14%). Approximately 50% of surgeries were minimally invasive. The average length of hospital stay was 2.8 days, and the rate of intensive care admission was 20%. The intraoperative and postoperative complication rate was 10%. Conclusion: The concept of treating pediatric patients as small-size adults is irrational. Pediatric patients need special care and tailored guidelines due to their peculiar physical, psychological, and anatomical characteristics. We believe that having a dedicated team of thoracic surgeons trained and subspecialized for pediatric thoracic pathologies will improve outcomes. Furthermore, more research must be directed to this age group to establish evidence-based consensus and guidelines.

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Pulmonary sublobar resections in pediatric patients

Cited by 3 publications

References 12 publications

Pulmonary metastasectomy in pediatric patients

Pulmonary metastasectomy in pediatric patients

Pulmonary sublobar resections in children with congenital cystic adenomatoid malformations

Thoracic surgery in children and adolescents: Experience from the thoracic surgery unit of a single referral center

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