Video-assisted thoracoscopic lobectomy in infants☆

Cano, I; Antón‐Pacheco, Juan L.; García, Araceli; Rothenberg, Steve

doi:10.1016/j.ejcts.2005.12.060

Cited by 70 publications

(58 citation statements)

References 12 publications

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“…Current bibliographical searches show that VATS is increasingly being used for major pulmonary resection worldwide [8][9][10][11][12][13][14]. Even so, it is still not used as widely as might be expected.…”

Section: Discussionmentioning

confidence: 99%

Video-assisted thoracic surgery (VATS) lobectomy: 13 years’ experience

et al. 2007

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Section: Discussionmentioning

confidence: 99%

Video-assisted thoracic surgery (VATS) lobectomy: 13 years’ experience

et al. 2007

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“…Stover et al [22] recommended surgical resection in the first year of life in clinically stable children due to the potential risk of future complications. Thoracoscopic lobectomy for such lesions is possible [4,23,24]. Satisfactory outcome following surgery was observed.…”

Section: Congenital Lung Lesionsmentioning

confidence: 98%

Lung resections in children for congenital and acquired lesions

et al. 2007

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We reviewed a single-center experience of pediatric lung resections for various congenital and acquired benign lung conditions. Thirty-five children underwent lung resections between 1998 and 2006, their age ranging from 8 days to 12 years (mean 3 years), with a male:female ratio of 4:1. Twelve patients were neonates. Antenatal diagnosis was available in only one patient. The presenting symptoms were respiratory distress and respiratory tract infections. Imaging with chest X-ray with/without a CT scan picked up the lesion in all cases. Preoperative ventilation was required for five patients. One patient had pneumothorax at presentation; however, ten patients had inadvertent intercostal tube insertion before surgical referral. The surgical procedures performed included lobectomy (28), segmentectomy (3), and pneumonectomy in 4 cases. Twenty-one patients underwent emergency surgery. Six patients required postoperative ventilation. The histopathological diagnosis was congenital lobar emphysema (CLE) (9), congenital cystic adenomatoid malformation (CCAM) (9), bronchiectasis (9), sequestration (3), atelectasis (1), lung abscess (1), unilobar tuberculosis (1), hydatid cyst (1), and foreign body with collapse (1). There was considerable discrepancy between the preoperative diagnosis based on imaging and the postoperative histopathological diagnosis. Postoperative complications included atelectasis (2), pneumothorax (2) and fluid collection (4 cases). Three patients died, one from compromised cardiac function, one from overwhelming sepsis and one from respiratory failure due to severe bilateral CCAM; the rest of the patients made a satisfactory recovery. At short-term follow-up all patients were doing well. Pulmonary resections are necessary for various congenital and acquired lung lesions in children and can be done safely in a pediatric hospital setup. Proper preoperative diagnosis can avoid inadvertent intercostal tube insertion in patients with congenital cystic lung lesions. The histopathological diagnosis often differs from the radiological diagnosis. Emergency lobectomies for acute respiratory distress, even in neonates, result in a satisfactory outcome.

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“…Excellent results (97.4 %) have been reported by Fonkalsrud (2008) in patients who underwent surgical correction using a very limited resection of deformed Responses to quality-of-life questionnaires in patients who had undergone minimally invasive repair of their pectus deformity supported a positive impact on psychosocial function [17].…”

Section: Abstract: Pectus Carinatum Orthotic Brace Childrenmentioning

confidence: 83%

“…Responses to quality-of-life questionnaires in patients who had undergone minimally invasive repair of their pectus deformity supported a positive impact on psychosocial function [17].…”

mentioning

confidence: 90%

Pectus carinatum, overview and results of orthotic bracing therapy

Zachariou¹

2016

Medical news of the North Caucasus

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Pectus carinatum may occur alone or together with other congenital disorders or even syndromes, causing the sternum to protrude. Patients with pectus carinatum are generally asymptomatic however the deformity may induce lung and cardiac dysfunction. Pectus deformities can also have an impact on a child's self-image and self-confidence. In this paper we give an overview of the pathophysiology, the epidemiology, clinical presentation, diagnosis and differential diagnosis as well as treatment and management of this congenital condition and present our results applying orthotic bracing in 65 children including a survey from the patients and /or the parents. Our results are very promising with improvement of the quality of life for the patients and probably prevention of orthopedic problems such as scoliosis in the future. Key words: pectus carinatum, orthotic brace, childrenКилевидная деформация грудной клетки (КДГК) является самостоятельной нозологией или встречается в сочетании с другими врожденными нарушениями и синдромами. У пациентов с КДГК, как правило, заболева-ние протекает бессимптомно, однако могут отмечаться нарушения со стороны легких и сердца. КДГК также оказывает влияние на самооценку ребенка. В этой статье мы даем обзор патофизиологии, эпидемиологии, клинических проявлений, а также лечение и тактику ведения этого врожденного порока. В исследовании пред-ставлены результаты применения ортопедической компрессионной терапии у 65 детей, в том числе опреде-ление качества жизни пациентов и/или их родителей. Наши результаты являются весьма многообещающими, поскольку проведенное лечение улучшает качество жизни пациентов с КДГК и, возможно, обеспечивает про-филактику ортопедических проблем, в том числе и сколиоза в будущем.Ключевые слова: килевидная деформация грудной клетки, ортопедическая компрессионная терапия, дети B ack as far as the 4 th century BC Hippocrates described this chest deformity as a «sharply pointed chest» in patients that demonstrated difficulty of breathing.» The term pectus carinatum or keel shaped breast or pigeon breast is used to describe a spectrum of protrusion abnormalities of the anterior chest wall. Although many affected patients have no or little complaints most of the patients especially adolescents indicate concerns about body image with low self-esteem and subsequently a decreased quality of life [1]. These cosmetic concerns have to be considered significant factors for correction of this congenital malformation.Pectus carinatum deformity was thought to be asymptomatic until recently. However new studies have proven that cardiopulmonary function can be impaired throughout the life of these children. Some patients develop a rigid chest wall, in which the AP diameter is almost fixed in full inspiration making respiratory efforts less efficient. Vital capacity can be reduced whereas residual air is increased resulting in alveolar hypoventilation with arterial hypoxemia and the development of cor pulmonale. The lungs lose compliance, incidence of emphysema and frequency of infecti...

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Video-assisted thoracoscopic lobectomy in infants☆

Abstract: VATS lobectomy in small infants is a feasible and safe technique. Decreased postoperative pain, a shorter hospital stay, and a better cosmetic result are definite advantages of this minimally invasive procedure. Long-term morbidity due to a major thoracotomy incision is avoided.

Cited by 70 publications

References 12 publications

Video-assisted thoracic surgery (VATS) lobectomy: 13 years’ experience

Video-assisted thoracic surgery (VATS) lobectomy: 13 years’ experience

Lung resections in children for congenital and acquired lesions

Pectus carinatum, overview and results of orthotic bracing therapy

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