Training in an ultra-high-volume center

Akar, Firas Abu; González-Rivas, Diego

doi:10.21037/vats.2018.04.04

Cited by 1 publication

(1 citation statement)

References 13 publications

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“…This may cause of physical and psychological harm to the child, principally since most children who undergo thoracic surgery suffer from benign diseases and have a long-term life expectancy, the long-term results of surgery should be looked at and taken seriously. After we received extensive training in an ultra-high volume VATS center ( 21 ), we gained experience in the uniportal VATS operations in adults. We decided to apply the technique to pediatric patients.…”

Section: Discussionmentioning

confidence: 99%

Uniportal video-assisted thoracoscopy in pediatrics—initial experience

Abu Akar,

Rumman,

Shaqqura

et al. 2023

Transl Pediatr

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Background It has become apparent that the endoscopic surgeries are rapidly developing, and they have become an essential part of every specialty of surgery. Single port thoracoscopic surgery is developing, enhancing the advantages of muti-portal video-assisted thoracoscopic surgery (VATS). Although becoming a well-recognised approach for adult patients, extremely limited literature exists concerning uniportal VATS among pediatric cases. This study aims to present our initial experience with this approach in a single tertiary hospital and extrapolate its feasibility and safety in this specific context. Methods Perioperative parameters and surgical outcomes for all pediatric patients who underwent an intercostal or subxiphoid uniportal VATS surgery in our department in 2 years retrospectively reviewed. The median length of follow-up was 8 months. Results Sixty-eight pediatric patients underwent different uniportal VATS operation for different types of pathology. The median age was (3.5 years). Median operating time was 116 minutes. Three cases converted to open. The mortality rate was zero. The median length of stay was 5 days. Three patients presented complications. Three patients lost from follow-up. Conclusions Despite literature data heterogeneity, these results provide support to the feasibility and applicability of uniportal VATS in the pediatric population. Further studies are required to explore the benefit of uniportal over multi-portal VATS (including chest wall deformities, cosmesis and quality of life).

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Section: Discussionmentioning

confidence: 99%