Early vs late resection of asymptomatic congenital lung malformations.
J Pediatr Surg
; 54(1): 70-74, 2019 Jan.
Article
em En
| MEDLINE
| ID: mdl-30366720
ABSTRACT
PURPOSE:
To examine postsurgical outcomes of a consecutive series of children treated with elective operations for congenital lung malformations (CLM).METHODS:
A retrospective review was performed on a prospectively collected dataset of all fetuses evaluated for a CLM between July 2001 and June 2016. Prenatal findings, operative treatment and postnatal outcomes were collected. Children having elective operations were divided in two groups based on age at time of surgery.RESULTS:
Of 220 fetuses, 143 had operations and follow-up at our center. Six had open fetal lobectomy, 17 had EXIT-to-resection, 16 infants had urgent resection for symptoms and 110 with asymptomatic lesions had elective resection. Of these 110, the median fetal maximum CVR was 0.8 [range 0.1-2.2], and median age at operation was 4 (1.5-60) months (58% had resection at ≤4â¯months). Overall complication rate, including air-leak and pleural effusion, was 15%. When comparing those having resection at ≤4â¯months to those >4â¯months, there were no significant differences in complication rates or length of stay. Operative time was shorter for patients with early resection (154⯱â¯59 vs 181⯱â¯89, pâ¯=â¯0.05). No infant having resection at ≤4â¯months was readmitted. Overall, children survived with good recovery.CONCLUSION:
Early elective resection of congenital lung malformations prior to 4â¯months of age is feasible and not associated with increased operative risk. TYPE OF STUDY Restropective study. LEVEL OF EVIDENCE Level III.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
Base de dados:
MEDLINE
Assunto principal:
Pneumonectomia
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Malformação Adenomatoide Cística Congênita do Pulmão
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Procedimentos Cirúrgicos Eletivos
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Terapias Fetais
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Tempo para o Tratamento
Tipo de estudo:
Observational_studies
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Risk_factors_studies
Limite:
Female
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Humans
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Infant
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Pregnancy
Idioma:
En
Revista:
J Pediatr Surg
Ano de publicação:
2019
Tipo de documento:
Article