Thoracoscopy Versus Open Surgery for Persistent Ductus Arteriosus and Vascular Ring Anomaly in Neonates and Infants

Muller, Cécile; Ali, Liza; Matta, Reva; Montalva, Louise; Michelet, D.; Soudée, Sophie; Bonnard, Arnaud

doi:10.1089/lap.2017.0340

Cited by 6 publications

(7 citation statements)

References 18 publications

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“…Some centers prefer video-assisted thoracoscopic surgery (VATS) division of vascular rings. (18,19) Riggle et al (18) reported that, VAT is a feasible method that can be performed with satisfactory results. They have reduced operative time, decreased ICU admissions, chest tube use, chylothorax and overall short length of stay.…”

Section: Discussionmentioning

confidence: 99%

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Assessment of Surgical Correction at Vascular Ring Anomalies

Bilen¹,

Akkaya²,

Ayık³

et al. 2018

ejcm

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In this retrospective study, we present our fifteen years of experience in surgical treatment in vascular rings. Thus, we aimed to determine the factors that causing improved both early and late term complications. Methods: Sixteen patients who underwent surgical treatment with the diagnosis of vascular ring between 2003-2018 were included in this study. Hospital records were analyzed retrospectively. Demographic data of the patients, preoperative symptoms and postoperative outcomes were evaluated. Results: The patients were mean 43.50±38.61 months of age and weighed 26.00±13.81 kg at the time of surgeries. 6 patients (37.5%) were diagnosed with double aortic arch, 7 patients (43.7%) had left arcus aorta associated with right aberrant subclavian artery and 3 patients (18.7%) had right arcus aorta and left ligamentum arteriosum. The most common symptom was cough followed by shortness of breath, difficulty in swallowing, reflux, recurrent pneumonia respectively. One patient had atrial septal defect, another patient had ductus arteriosus and another patient had ventricular septal defect as a coexisting cardiac disorder. As early complications, we observed cylothorax, pneumothorax and need of tracheostomy due to failure of extubation in three cases. Mean follow up time was 7.00±3.57 years. Patients had no complaints except for one case with asthma. However, there was no pressure measured on trachea in that patient. No patients died during hospitalizations or follow-ups. Conclusion: Vascular rings can manifest with various symptoms at different ages and many patients also have co-existing cardiac anomalies. However, once the diagnosis is confirmed, surgical approach is essential and leads to satisfactory, uneventful long-term survival results.

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Section: Discussionmentioning

confidence: 99%

“…(20,21) We had experienced one case each with chylothorax, pneumothorax and tracheostomy application owing to extubation failure who had diagnosed with tracheomalacia preoperatively. In the literature, complications rates have a range of (10-27%), (4,6,(16)(17)(18)(19) . However, reported mortality rates are below 1%.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Surgical Correction at Vascular Ring Anomalies

Bilen¹,

Akkaya²,

Ayık³

et al. 2018

ejcm

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“…However, there are observational data indicating that open surgery is associated with worsening neurodevelopment of the neonate 18 . In addition, the procedure presents some immediate complications, such as rib fractures, which could be avoided with thoracoscopy 3,14,15 .…”

Section: Thoracotomymentioning

confidence: 99%

“…Although open thoracic surgery is common for PDA ligation or clipping, thoracoscopic PDA closure is an alternative surgical procedure that requires a smaller incision, facilitates postoperative recovery, reduces pain, results in shorter hospital stay, and improves respiratory function. There is also a decrease in the incidence of chest wall deformity in the long term, including scoliosis and breast deformity, leading to better aesthetic results 2,3 .…”

Section: Introductionmentioning

confidence: 99%

“…Collectively, the studies that make up the current literature on the subject are from centers with extensive experience in minimally invasive surgery, as such, there is still a need for more series of reports comparing thoracoscopy with standard thoracotomy in terms of efficacy, morbidity, and conversion rates, especially in neonates and premature babies 3,5 . Therefore, the objective of this study is to compare thoracoscopy with thoracotomy in the treatment of PDA in neonates.…”

Section: Introductionmentioning

confidence: 99%

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Thoracoscopy in the treatment of persistent arterial ductus arteriosus in neonates

Velho

Gouveia

Pinto

et al. 2021

Rev. Assoc. Med. Bras.

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Application of robot-assisted endoscopic technique in the treatment of patent ductus arteriosus in 106 children

et al. 2023

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The objective is to evaluate and apply the robot-assisted endoscopic surgical technique for treatment of patent ductus arteriosus (PDA) in children. Clinical data of 106 children with PDA who underwent robot-assisted endoscopic operation were retrospectively analyzed from August, 2020 to March, 2022. Demographic and preoperative data were collected, including the patient’s age, weight, diameter of the ductus arteriosus, operation time, length of postoperative hospital stay, postoperative complications and hospitalization cost. The age ranged from 6 months to 12 years with median age of 2.5 years. In addition, the weight ranged from 6.6 kg (kg) to 51.6 kg with median weight of 12.5 kg. Patients who received transcatheter PDA closure were also enrolled during the same period. Clinical features and perioperative data were compared between the two groups. All the 106 cases underwent robotically assisted surgery for PDA ligation. No one was converted to thoracotomy. The length of operation time was 15–84 min, with an average of 39.4 min. There was no obvious bleeding during the operation. The length of postoperative hospital stays were 1–3 days, with an average of 1.1 ± 0.2 days, which was significantly shorter than that of patients underwent transcatheter approach PDA closure (2.2 ± 0.2 days) (p < 0.05). The average hospitalization costs were US$ 8180 in the 106 patients, which were more expensive than that of ones who received transcatheter procedure (US$ 5076 ± 406) (p < 0.05). Only one case was found to have residual ductus shunt during early postoperative follow-up. One case was found with recurrent laryngeal nerve injury. The two cases recovered after 3 months of follow-up. The median duration of follow-up was 12 (1–20) months. No other short-term complications occurred during the follow-up period. Robotic surgical technique for PDA ligation in children is a safe, effective and reliable surgical method with less trauma, faster recovery and fewer surgical risks. This approach should be considered as an option in children patients requiring PDA ligation.

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Thoracoscopy Versus Open Surgery for Persistent Ductus Arteriosus and Vascular Ring Anomaly in Neonates and Infants

Cited by 6 publications

References 18 publications

Assessment of Surgical Correction at Vascular Ring Anomalies

Assessment of Surgical Correction at Vascular Ring Anomalies

Thoracoscopy in the treatment of persistent arterial ductus arteriosus in neonates

Application of robot-assisted endoscopic technique in the treatment of patent ductus arteriosus in 106 children

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