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Pediatric thoracoscopic lobectomy

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https://www.readbyqxmd.com/read/27747037/uniportal-video-assisted-thoracoscopic-right-upper-sleeve-lobectomy-and-tracheoplasty-in-a-10-year-old-patient
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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...
February 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
#16
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
https://www.readbyqxmd.com/read/21214429/thoracoscopic-lobectomy-in-infants-less-than-10%C3%A2-kg-with-prenatally-diagnosed-cystic-lung-disease
#17
Steven S Rothenberg, Keith A Kuenzler, William Middlesworth, Saundra Kay, Suzanne Yoder, Kristin Shipman, Ruben Rodriguez, Charles J Stolar
PURPOSE: Thoracoscopic lobectomy for congenital cystic lung lesions is an accepted technique in pediatric surgery. Since an increasing number of these lesions are detected prenatally, the safety and efficacy of infant resections have been questioned. We reviewed our experience over a 10-year period to evaluate early resection of these lesions. METHODS: From January 2001 to August 2009, 75 patients under 1 year of age and weighing <10 kg underwent thoracoscopic lobectomy at two institutions...
March 2011: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/20467712/-thoracoscopic-lung-lobectomy-preliminary-results-in-pediatric-patients
#18
Marcelo Martínez Ferro, Santiago Vidaurreta, Enrique Buela, Horacio Bignon
The objective of the present study consists of revising our initial experience with the use of thoracoscopic surgery for lung resections and their complications. Clinical histories and videos, from patients treated surgically at the Fundación Hospitalaria-Private Children Hospital and CEMIC Universitary Hospital from april 2005 to october 2008, were retrospectivelly estudied. Eleven female and 9 male patients were included. The median surgical time was 150 min (range: 60-270 min). The median time of chest tube permanence was 3 days (range: 2-10 days)...
April 2010: Archivos Argentinos de Pediatría
https://www.readbyqxmd.com/read/20210667/which-is-the-best-vessel-sealing-method-for-pediatric-thoracoscopic-lobectomy
#19
Horacio Bignon, Enrique Buela, Marcelo Martinez-Ferro
INTRODUCTION: The general aim of this report was to determine how a vascular accident (VA) or vascular incident (VI) could be prevented and controlled during thoracoscopic lung lobectomies (TLLs). MATERIALS AND METHODS: Clinical records and videos of patients (n:21) who underwent a programmed TLL during a 3-year period at the Private Children's Hospital "Fundación Hospitalaria" and CEMIC University Hospital (Buenos Aires, Argentina) were reviewed retrospectively...
May 2010: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/20011487/open-resections-for-congenital-lung-malformations
#20
Dhanya Mullassery, Matthew O Jones
AIM: Pediatric lung resection is a relatively uncommon procedure that is usually performed for congenital lesions. In recent years, thoracoscopic resection has become increasingly popular, particularly for small peripheral lesions. The aim of this study was to review our experience with traditional open lung resection in order to evaluate the existing "gold standard." MATERIALS AND METHODS: We carried out a retrospective analysis of all children having lung resection for congenital lesions at our institution between 1997 and 2004...
July 2008: Journal of Indian Association of Pediatric Surgeons
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