RESUMO
Thoracoscopic and traditional methods of treatment of the inborn and acquired lung diseases in children were comparatively analyzed. The main group, operated on thoracoscopically, consisted of 30 patients. The control group, operated on thoracotomically, consisted of the same number of children. Both groups were comparable to the age, gender, diagnostic algorithm, risk and preoperative prepare. Traumaticity of the operation and postoperative period were assessed. Thoracoscopic method proved to have indisputable advantages.
Assuntos
Pneumopatias , Pulmão , Dor Pós-Operatória , Pneumonectomia , Toracoscopia , Analgésicos/uso terapêutico , Criança , Pré-Escolar , Pesquisa Comparativa da Efetividade , Técnicas de Diagnóstico do Sistema Respiratório , Feminino , Humanos , Pulmão/anormalidades , Pulmão/cirurgia , Pneumopatias/diagnóstico , Pneumopatias/etiologia , Pneumopatias/cirurgia , Masculino , Duração da Cirurgia , Dor Pós-Operatória/tratamento farmacológico , Dor Pós-Operatória/prevenção & controle , Pneumonectomia/efeitos adversos , Pneumonectomia/métodos , Período Pós-Operatório , Projetos de Pesquisa , Toracoscopia/efeitos adversos , Toracoscopia/métodos , Resultado do TratamentoRESUMO
20 patients were operated thoracoscopically on the cause of the solid tumors of the pleural cavity. Patients were aged from 1 day of life to 17 years. Minimal size of the tumor was 3.1×3.5×4.0 sm; maximal 10×10×20 sm. The control group was created of 22 children with thoracic tumors, operated via thoracotomy. The postoperative period and outcomes were statistically better among patients, treated thoracoscopically.
Assuntos
Neoplasias Torácicas/cirurgia , Toracoscopia/métodos , Toracotomia/métodos , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Avaliação de Processos e Resultados em Cuidados de Saúde , Período Pós-Operatório , Recuperação de Função Fisiológica , Toracoscopia/reabilitação , Toracotomia/reabilitação , Resultado do TratamentoRESUMO
Results of surgical treatment were comparatively analyzed in children with congenital lobar emphysema operated using traditional technique (1 group, 10 patients) and operated using thoracoscopic technique (2 group, 10 patients). In the first group average time of operation amounted 68 +/- 5,8 min., average time of plural drainage--3,3 days, average time of postoperative hospitalization--13,6 days and in the second group--62 +/- 15,6 min., 1,3 days and 7,4 days respectively. In the second group postoperative complications were not observed. In postoperative period one patient from the first group developed pneumothorax eliminated on the 5-th day after operation. Results of investigation indicate the advantages of thoracoscopic technique in treatment of children with lobar emphysema compared with traditional methods of treatment. Application of thoracoscopic technique in children with lobar emphysema is a serious alternative to traditional method due to slight postoperative period, lesser amount of complications and good cosmetic and functional results.