Thoracoscopic Rib Resection in Children

Alshammari, Dheidan; Talon, Isabelle; Rod, Julien; Schneider, Anne; Lavrand, F.; Piolat, C.; Gelas, Thomas; Hameury, F.; Sica, Marina; Gicquel, Philippe; Flaum, Valérie; Baudin, François

doi:10.1089/lap.2017.0131

Cited by 6 publications

(9 citation statements)

References 26 publications

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“…Of these, nine underwent surgery. Furthermore, the review of literature revealed that costal exostoses were actively resected in cases of thoracic complications caused by exostoses, even if prior to adolescence[ 4 , 15 ]. Thoracic complications caused by costal exostoses are serious.…”

Section: Discussionmentioning

confidence: 99%

“…Compared to major thoracotomy, VATS has become an increasingly popular method for treating the intrathoracic lesions because it is a minimally invasive procedure[ 3 ]. VATS appears to be the best option for surgical resection of exostoses to prevent thoracic complications in cases of apparently benign exostoses[ 15 , 16 ]. In addition, VATS may be easily offered in cases of HME because redo VATS is less invasive[ 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…VATS appears to be the best option for surgical resection of exostoses to prevent thoracic complications in cases of apparently benign exostoses[ 15 , 16 ]. In addition, VATS may be easily offered in cases of HME because redo VATS is less invasive[ 15 ]. The application of VATS for the removal of suggestive malignant exostoses has not been fully discussed; however, small tissue fragments may spread accidentally into the pleural cavity[ 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, VATS may be easily offered in cases of HME because redo VATS is less invasive[ 15 ]. The application of VATS for the removal of suggestive malignant exostoses has not been fully discussed; however, small tissue fragments may spread accidentally into the pleural cavity[ 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…Among the cases reviewed by us, five had a tumor measuring ≥ 5 cm, and four were treated by thoracotomy[ 16 , 19 - 22 ] and one with VATS[ 20 ]. However, it seems that there is no correlation between age at the time of operation and operative approach[ 15 ].…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous pneumothorax in a 17-year-old male patient with multiple exostoses: A case report and review of the literature

Nakamura¹,

Asanuma²,

Shimamoto³

et al. 2021

WJO

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BACKGROUND Multiple exostoses generally develop in the first decade of life. They most frequently arise from the distal femur, proximal tibia, fibula, and proximal humerus. Costal exostoses are rare, contributing to 1%–2% of all exostoses in hereditary multiple exostoses (HME). They are usually asymptomatic, but a few cases have resulted in severe thoracic injuries. Pneumothorax caused by costal exostoses is rare, with only 13 previously reported cases. We report a new case of pneumothorax caused by costal exostoses. CASE SUMMARY A 17-year-old male with HME underwent surgery for removal of exostoses around his right knee. Four months following the operation, he felt chest pain when he was playing the trumpet; however, he did not stop playing for a week. He was referred to our hospital with a chief complaint of chest pain. The computed tomography (CT) scan revealed right pneumothorax and multiple exostoses in his right ribs. The CT scan also revealed visceral pleura thickness and damaged lung tissues facing the exostosis of the seventh rib. We diagnosed that exostosis of the seventh rib induced pneumothorax. Costal exostosis resection was performed by video-assisted thoracoscopic surgery (VATS) 2 wk after the onset. The patient’s postoperative course was uneventful, and there was no recurrence of pneumothorax for 2 years. CONCLUSION Costal exostoses causing thoracic injuries should be resected regardless of age. VATS must be considered in cases with apparently benign and relatively small exostoses or HME.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Spontaneous pneumothorax in a 17-year-old male patient with multiple exostoses: A case report and review of the literature

Nakamura¹,

Asanuma²,

Shimamoto³

et al. 2021

WJO

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Costal exostosis at risk of hepatic injury in a 10-year-old girl

Doan

Tschopp

Binet

et al. 2022

Journal of Pediatric Surgery Case Reports

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Osteo-cartilaginous pain syndromes at the chest wall: results of costal cartilage excision

Fakundiny¹,

Kehrer²,

Попов³

et al. 2023

J Thorac Dis

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Background Various pathologies of the lower ribs may lead to potentially severe pain in a heterogenous group of patients. Costal cartilage excision (CCE) has been shown to result in durable pain relief in some patients. Even though literature is scarce, we reviewed our experience with surgically treated osteo-cartilaginous pain syndromes (OCPSs) of the chest wall. Methods We performed a retrospective case series from two institutions including patients operated for OCPS from 2014 to 2022. Results Our case series consists of 11 patients (72.7% female) with OCPS that were treated by CCE. The median age was 43.5±17.1 years. Body mass index (BMI) was 23.6±3.4 kg/m 2 (range, 18.5–29.6). The interval between first symptoms and diagnosis was 2.6 years (range, 3–127). In 5 patients, symptoms started after preceding chest wall trauma. All but one case were unilateral with no significant predominance regarding the side (6 left/4 right/1 bilateral). Postoperative length of hospital stay was 2.3±0.6 days. There was no patient morbidity or mortality. At follow-up, OCPS related pain had ceased in 7 of 9 patients (78%). Two patients stated to have significantly less pain and two patients didn’t have a follow-up. Conclusions Our analysis indicates that CCE in OCPS is safe and has good long-term results.

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Thoracoscopic Rib Resection in Children

Abstract: Benign rib lesions in children are rare. Thoracoscopy may be offered to reduce the functional deleterious consequences of an open surgery. It may be put forward especially in case of hereditary multiple exostoses where redo procedures may be required.

Cited by 6 publications

References 26 publications

Spontaneous pneumothorax in a 17-year-old male patient with multiple exostoses: A case report and review of the literature

Spontaneous pneumothorax in a 17-year-old male patient with multiple exostoses: A case report and review of the literature

Costal exostosis at risk of hepatic injury in a 10-year-old girl

Osteo-cartilaginous pain syndromes at the chest wall: results of costal cartilage excision

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