Robot-assisted thoracoscopic plication for diaphragmatic eventration.
J Pediatr Surg
; 55(12): 2787-2790, 2020 Dec.
Article
em En
| MEDLINE
| ID: mdl-32711940
ABSTRACT
BACKGROUND:
Though conventional thoracoscopic plication is a favorable option of diaphragmatic eventration (DE), ribs limited the movement of trocars, making it difficult to suturing, knot-tying and time-consuming. The purpose of this study was to evaluate delicate surgical maneuvers and suturing time for the management of DE in robot-assisted thoracoscopic plication (RATP).METHODS:
From January 2015 to November 2019, 20 patients (14 males; mean age 10.5⯱â¯5.2â¯months; mean weight 8.6⯱â¯4.5â¯kg) who underwent diaphragmatic plication for DE were reviewed at our institution. There were 13 patients with congenital diaphragmatic eventration and 7 patients with acquired diaphragm eventration after congenital heart surgery. RATP was performed on 9 patients (3 on the left and 6 on the right), and conventional thoracoscopic plication (CTP) was applied to 11 patients (5 on the left and 6 on the right). Demographics, the suturing time and complications were respectively evaluated.RESULTS:
There was no difference between 2 groups with respect to gender, age at surgery and weight (pâ¯>â¯0.05). No conversion to thoracotomy was needed. The suturing time in RATP group was shorter than CTP group (27.7⯱â¯3.4â¯min vs 48.1⯱â¯4.2â¯min, pâ¯<â¯0.001). One patient (9.09%) experienced recurrence in CTP group and none was found in RATP group.CONCLUSIONS:
Diaphragmatic plication with robot-assisted thoracoscopy or conventional thoracoscopy in DE has minimally invasive and good effect on children. RATP overcome the intercostal limitations to complete delicate suturing and free knot-tying, and has better ergonomics. LEVEL OF EVIDENCE Level III.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Toracoscopia
/
Eventração Diafragmática
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Procedimentos Cirúrgicos Robóticos
Limite:
Female
/
Humans
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Infant
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Male
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article