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Pediatric thoracoscopic lobectomy

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https://www.readbyqxmd.com/read/28589256/treatment-of-congenital-pulmonary-airway-malformations-a-systematic-review-from-the-apsa-outcomes-and-evidence-based-practice-committee
#1
Cynthia D Downard, Casey M Calkins, Regan F Williams, Elizabeth J Renaud, Tim Jancelewicz, Julia Grabowski, Roshni Dasgupta, Milissa McKee, Robert Baird, Mary T Austin, Meghan A Arnold, Adam B Goldin, Julia Shelton, Saleem Islam
PURPOSE: Variation in management characterizes treatment of infants with a congenital pulmonary airway malformation (CPAM). This review addresses six clinically applicable questions using available evidence to provide recommendations for the treatment of these patients. METHODS: Questions regarding the management of a pediatric patient with a CPAM were generated. English language articles published between 1960 and 2014 were compiled after searching Medline and OvidSP...
June 6, 2017: Pediatric Surgery International
https://www.readbyqxmd.com/read/28259381/fast-track-pediatric-thoracic-surgery-toward-day-case-surgery
#2
Pauline Clermidi, Myriam Bellon, Alia Skhiri, Olivier Jaby, Christine Vitoux, Michel Peuchmaur, Arnaud Bonnard
PURPOSE: Thoracoscopic lung resection for congenital pulmonary airway malformation (CPAM) is a safe technique for children. Our purpose was to evaluate the feasibility of a fast-track protocol in such cases. METHODS: From September 2007 to May 2016, 101 patients underwent a thoracoscopic pulmonary resection of which 83 for CPAM (lobectomy, wedge resection or sequestrectomy). We retrospectively reviewed the characteristics of surgical procedure, postoperative management and complications through three time periods (September 2007-December 2009: n=14, January 2010-March 2013: n=30, April 2013-May 2016: n=39) corresponding to management protocols modifications introducing fast-track pathways...
February 16, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28205035/serial-improvement-of-quality-metrics-in-pediatric-thoracoscopic-lobectomy-for-congenital-lung-malformation-an-analysis-of-learning-curve
#3
Samina Park, Eung Re Kim, Yoohwa Hwang, Hyun Joo Lee, In Kyu Park, Young Tae Kim, Chang Hyun Kang
Video-assisted thoracic surgery (VATS) pulmonary resection in children is a technically demanding procedure that requires a relatively long learning period. This study aimed to evaluate the serial improvement of quality metrics according to case volume experience in pediatric VATS pulmonary resection of congenital lung malformation (CLM). Methods VATS anatomical resection in CLM was attempted in 200 consecutive patients. The learning curve for the operative time was modeled by cumulative sum analysis. Quality metrics were used to measure technical achievement and efficiency outcomes...
February 15, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28027807/-thoracoscopic-lobectomy-for-the-treatment-of-tracheal-bronchus-a-pediatric-case-report
#4
Carlos García-Hernández, Lourdes Carvajal Figueroa, Ángel Celorio Alcántara, Sergio Landa-Juárez, Edmur Salinas Hernández
BACKGROUND: Tracheal bronchus is considered a rare, congenital anomaly, which implies the abnormal origin of a bronchus. When related to repetitive infections the bronchus must be resected, usually via an open procedure. OBJECTIVE: The aim of this paper is to present the case of a patient with tracheal bronchus of the upper right lobe who presented with repetitive pneumonias. Additionally, this text intends to expose the methodology for its diagnosis and surgical resolution through a thoracoscopic lobectomy...
December 24, 2016: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/27747037/uniportal-video-assisted-thoracoscopic-right-upper-sleeve-lobectomy-and-tracheoplasty-in-a-10-year-old-patient
#5
Diego Gonzalez-Rivas, Jessica Correa Marin, Juan Pablo Ovalle Granados, Juan David Urrea Llano, Sonia Roque Cañas, Alonso Oviedo Arqueta, Mercedes de la Torre
Tracheobronchial pediatric tumors are very rare and procedures like pneumonectomy are seldomly indicated due to the associated morbidity. If a surgical approach is considered, the ideal oncological technique would be the minimally invasive sleeve resection, allowing preservation of lung parenchyma (very important in pediatric patients). Here we present the first report of a thoracoscopic right upper tracheo-bronchial sleeve lobectomy in a pediatric patient. A 10-year-old female patient, who received multiple antibiotic treatments for recurrent pneumonia without improvement, was diagnosed with a right upper lobe (RUL) carcinoid tumor...
September 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/26547348/-effect-of-one-lung-ventilation-preconditioning-on-oxygenation-during-pediatric-video-assisted-thoracoscopic-surgery
#6
Guo-Qiang Zhang, Jing Ye, Jun-Yong Chen, Wei Liu, Kai-Can Cai
OBJECTIVE: To observe the effect of one lung ventilation (OLV) preconditioning on perioperative oxygenation during pediatric video-assisted thoracoscopic surgeries (VATS). METHODS: A total of 171 children aged 5 days to 11 years underwent VATS for empyema dissection and abscess excisions (n=55), mediastinal tumor resection (n=34), repair of the diaphragmatic hernia or diaphragmatic plication (n=21), pulmonary lobectomy or biopsy (n=43), or esophageal disease (n=18)...
October 2015: Nan Fang Yi Ke da Xue Xue Bao, Journal of Southern Medical University
https://www.readbyqxmd.com/read/26475091/experiences-and-challenges-of-thorcoscopic-lung-surgery-in-the-pediatric-age-group
#7
Justus Lieber, Cristian Ioan Urla, Winfried Baden, Jürgen Schäfer, Hans-Joachim Kirschner, Jörg Fuchs
BACKGROUND: We report a single-center study of minimally invasive thoracoscopic lung surgery with pediatric patients. METHODS: We performed a retrospective analysis of patients who underwent thoracoscopic lung surgery between 2004 and 2013. The procedures were divided into anatomic and non-anatomical lung resections. RESULTS: Seventy-six patients with a mean age of 6.5 years (range: 7 days-17 years) and a mean weight of 11 kg (range: 2.6-56...
November 2015: International Journal of Surgery
https://www.readbyqxmd.com/read/26144284/comparing-30-day-outcomes-between-thoracoscopic-and-open-approaches-for-resection-of-pediatric-congenital-lung-malformations-evidence-from-nsqip
#8
COMPARATIVE STUDY
Afif N Kulaylat, Brett W Engbrecht, Christopher S Hollenbeak, Shawn D Safford, Robert E Cilley, Peter W Dillon
BACKGROUND/PURPOSE: Thoracoscopic surgery has been increasingly utilized in treating pediatric congenital lung malformations (CLM). Comparative studies evaluating 30-day outcomes between thoracoscopic and open resection of CLM are lacking. METHODS: There were 258 patients identified in pediatric NSQIP with a CLM and pulmonary resection in 2012-2013. Comparisons of patient characteristics and outcomes between surgical approaches were made using standard univariate statistics...
October 2015: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/25755940/first-case-report-of-single-port-video-assisted-thoracoscopic-middle-lobectomy-for-the-treatment-of-pulmonary-aspergilloma-in-a-pediatric-patient
#9
Javier Aragón, Itzell Pérez Méndez
We present the case of an 11-year-old girl with pulmonary aspergilloma secondary to a hematologic disease successfully treated with a single port video-assisted thoracoscopic lobectomy. This surgical procedure was not previously reported. We consider this approach to be a safe and appropriate procedure for lung resection, in children or adults requiring minimal intervention and early recovery.
June 2013: European Journal of Pediatric Surgery Reports
https://www.readbyqxmd.com/read/25652225/hybrid-video-assisted-thoracoscopic-surgery-lobectomy-of-fissureless-congenital-cystic-adenomatoid-malformation-a-case-report
#10
Mitsuyuki Nakata, Shigetoshi Yoshida, Takeshi Saito, Keita Terui, Tetsuya Mitsunaga, Sachie Ohno, Naoko Mise, Satoru Oita, Hideo Yoshida
INTRODUCTION: Thoracoscopic lobectomy for congenital pulmonary airway malformation has been indicated from the neonatal period to adolescence. However, it is difficult to approach the pulmonary artery for lobectomy in congenital lung malformations with incomplete or absent interlobar fissures. Multidetector computed tomographic images and computed tomography pulmonary angiography gave us helpful information before the operation. We performed thoracoscopic lobectomy for congenital pulmonary airway malformations with absent interlobar fissures and adhesions in accordance with information from multidetector computed tomographic images...
February 5, 2015: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/25611849/intraoperative-bronchopleural-fistula-during-thoracoscopic-lobectomy-the-role-of-end-tidal-co2-monitoring
#11
Jerome Sohasky, Wilson T Chimbira, Olubukola O Nafiu
Video-assisted thoracoscopic surgery has become a common procedure in pediatric surgery. We present a case of accidental intraoperative bronchopleural fistula during a video-assisted thoracoscopic surgery procedure, which was first identified by the anesthesia team. We discuss differential diagnoses including the role of end-tidal carbon dioxide monitoring as an aid to prompt diagnosis.
November 1, 2013: A & A Case Reports
https://www.readbyqxmd.com/read/25560086/two-decades-of-experience-with-thoracoscopic-lobectomy-in-infants-and-children-standardizing-techniques-for-advanced-thoracoscopic-surgery
#12
Steven S Rothenberg, William Middlesworth, Angela Kadennhe-Chiweshe, Gudrun Aspelund, Keith Kuenzler, Robert Cowles, Lawrence Bodenstein, Saundra Kay, Kristin Shipman, Cathryn Rothenberg, Charles Stolar, Steven Stylianos
OBJECTIVES: This study evaluates the safety and efficacy of thoracoscopic lobectomy in infants and children. MATERIALS AND METHODS: From January 1994 to November 2013, 347 patients underwent video-assisted thoracoscopic lobe resection at two institutions. All procedures were performed by or under the direct guidance of a single surgeon. Patients' ages ranged from 1 day to 18 years, and weights ranged from 2.8 to 78 kg. Preoperative diagnosis included sequestration/congenital pulmonary airway malformation (n=306), severe bronchiectasis (n=24), congenital lobar emphysema (n=13), and malignancy (n=4)...
May 2015: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/25402570/comparison-of-30-day-outcomes-between-thoracoscopic-and-open-lobectomy-for-congenital-pulmonary-lesions
#13
COMPARATIVE STUDY
Justin B Mahida, Lindsey Asti, Victoria K Pepper, Katherine J Deans, Peter C Minneci, Karen A Diefenbach
OBJECTIVE: To compare postoperative length of stay and 30-day outcomes between thoracoscopic and open lobectomy performed on a nonemergency basis for congenital pulmonary lesions using a validated national database. MATERIALS AND METHODS: We identified all nonemergency lobectomies performed on patients with congenital pulmonary lesions in the 2012 National Surgical Quality Improvement Program (NSQIP) Pediatric database and compared demographic, clinical, and 30-day outcome characteristics between patients who underwent an open or thoracoscopic lobectomy...
May 2015: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/25167784/hilar-closure-using-staplers-or-hem-o-lok-clips-in-a-rabbit-model
#14
Andrea L Smith, Philipp D Mayhew, Joao H Soares, Philip H Kass, Robert J Brosnan
BACKGROUND: Lung lobectomy is necessary in neonatal patients for the treatment of a variety of congenital bronchopulmonary malformations. The working space required for traditional stapling devices limits their use in pediatric video-assisted thoracoscopic (VATS) lung lobectomy. The use of Hem-o-lok clips (Teleflex Medical Inc. Research Triangle Park, NC) has been described for a number of applications in minimally invasive surgery and may provide an alternative to traditional stapling devices for bronchial closure...
December 2014: Journal of Surgical Research
https://www.readbyqxmd.com/read/24073837/thoracoscopic-segmentectomy-for-congenital-and-acquired-pulmonary-disease-a-case-for-lung-sparing-surgery
#15
Steven S Rothenberg, Kristin Shipman, Saundra Kay, Angela Kadenhe-Chiweshe, Arul Thirumoorthi, Alejandro Garcia, Piotr Czauderna, Dragan Kravarusic, Enrique Freud
PURPOSE: Over the last 15 years thoracoscopic lobectomy for congenital and acquired lesions has become an accepted modality in pediatric thoracic surgery. There is still debate about the need to perform a complete lobectomy for some of these lesions, and some advocate observation rather than resection, despite possible long-term complications of untreated lesions. High-resolution computed tomography (CT) scans and physical findings at the time of surgery, along with new advanced techniques, now allow for discrete partial anatomic resections, which may preserve normal lung...
January 2014: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/23895957/sparing-lung-surgery-for-the-treatment-of-congenital-lung-malformations
#16
Francesco Fascetti-Leon, Dalia Gobbi, Stefania Valentina Pavia, Antonio Aquino, Giovanni Ruggeri, Giulio Gregori, Mario Lima
PURPOSE: Congenital lung malformations (CLM) are traditionally treated by pulmonary lobectomy. The foremost indication for surgery is that these lesions predispose to respiratory tract infections and to malignancy. Owing to the improvement of prenatal diagnosis, most patients are operated in a timely manner and prophylactically. In this context, lung-sparing surgery (LS) has gained interest as a lung preservation strategy, especially for asymptomatic patients. In the present study, we evaluated both thoracoscopic and open lung-preserving resections as an alternative to lobectomy for CLM resection...
July 2013: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/23453743/video-assisted-thoracoscopic-lobectomy-in-children-safety-efficacy-and-risk-factors-for-conversion-to-thoracotomy
#17
COMPARATIVE STUDY
Yong Won Seong, Chang Hyun Kang, Jin-Tae Kim, Hyun Jong Moon, In Kyu Park, Young Tae Kim
BACKGROUND: Video-assisted thoracoscopic lobectomy in small children has not been widely performed because of difficulties in single-lung ventilation and surgical technique. This study assessed the feasibility, outcomes, and risk factors for conversion to thoracotomy of thoracoscopic lobectomy in children. METHODS: From 2005 to 2011, thoracoscopic lobectomy was tried in 50 consecutive pediatric patients. The median age was 3.2 years and the median body weight was 16 kg...
April 2013: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/23422800/video-assisted-thoracoscopic-lobectomy-in-children-safety-and-efficacy-compared-with-the-conventional-thoracotomy-approach
#18
COMPARATIVE STUDY
Yong Won Seong, Byung Su Yoo, Jin Tae Kim, In Kyu Park, Chang Hyun Kang, Young Tae Kim
OBJECTIVE: There have been only small numbers of reports for video-assisted thoracoscopic surgery (VATS) lobectomy in children because of its technically demanding aspects. This study was performed to evaluate the safety and the efficacy of the VATS lobectomy compared with the conventional lobectomy by thoracotomy and to investigate the risk factors of thoracotomy conversion. METHODS: From May 2005 to October 2010, a total of 37 pediatric patients underwent VATS lobectomy and 28 pediatric patients underwent conventional lobectomy...
November 2012: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/21933481/paediatric-thoracoscopy-state-of-the-art
#19
REVIEW
M L Van Niekerk
Brad Rogers reported the first significant use of thoracoscopy in children in the late 1970s. Over the past two decades there has been an exponential growth and expansion of this technique. Many advanced procedures, including lobectomy, repair of tracheo-esophageal fistula, excision of mediastinal tumours and diaphragmatic hernia repairs, are being done routinely in pediatric surgery centres around the world. This article reviews the state of the art of thoracoscopic surgery in children. The author selected five procedures which in his opinion are most relevant for this discussion...
March 14, 2011: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/21298923/-thoracoscopic-lobectomy-in-pediatrics-our-experience-and-new-treatment-perspectives
#20
L F Ibáñez Cerrato, H Allal, M Tirado
OBJECTIVES: Pulmonary malformations in the child are a wide clinical and pathologycal spectrum. The congenital cystic adenomatoid malformation and the pulmonary sequestration both produce many symptoms, from the asymptomatic to the most complicated, and its management remains controversial. Moreover, in the last years many new publications show that this surgery can be perfectly accomplished with the thoracoscopic approach as an alternative to the tradicional open surgery. In this paper we analyse our experience in performing lobectomies with thoracoscopy...
April 2010: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
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