Thoracoscopic resection of intra- and extralobar pulmonary sequestration in the first 3 months of life.
J Pediatr Surg
; 40(9): 1404-6, 2005 Sep.
Article
em En
| MEDLINE
| ID: mdl-16150340
ABSTRACT
BACKGROUND:
Thoracoscopic techniques have gained increasing acceptance in pediatric surgery, but experience with newborns and small children is limited. To our knowledge, a series of minimally invasive resection of pulmonary sequestration in newborns has not yet been reported in the literature. We report on 5 patients with pulmonary sequestration thoracoscopically.METHODS:
From November 2000 to November 2002, 5 patients underwent thoracoscopic resection of pulmonary sequestration. Ages ranged from 4 to 91 days. Two patients had postnatal pulmonary symptoms. Preoperative diagnosis was dubious in 4 children. There were 4 extralobar and 1 intralobar pulmonary sequestrations.RESULTS:
Thoracoscopy was performed with 3-mm instruments and 3 to 5 ports. All procedures were completed successfully. The median duration of the operation was 95 minutes (range, 63-117 minutes), and visualization was excellent. Anomalous blood vessels were clipped and/or ligated. Four patients were extubated immediately after the operation, 1, the day after. The postoperative course was uneventful in all children. At follow-up after 14 months (mean; range, 10-19 months), all patients were free of symptoms and had normal chest x-rays.CONCLUSION:
Thoracoscopy is feasible for resection of intra- and extralobar pulmonary sequestrations during the first 3 months of life.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Toracoscopia
/
Sequestro Broncopulmonar
Tipo de estudo:
Observational_studies
Limite:
Female
/
Humans
/
Infant
/
Male
/
Newborn
Idioma:
En
Revista:
J Pediatr Surg
Ano de publicação:
2005
Tipo de documento:
Article
País de afiliação:
Alemanha