Abstract
Background: Over the years the need for surgical treatment, timing of intervention, and the type of surgical approach have been discussed, but the treatment of congenital lung malformations remains controversial. The aim of this study was to compare the thoracotomy approach with the thoracoscopic technique by evaluating different surgical outcomes (duration of surgery, postoperative hospital stay, and complications). Methods: All patients operated from January 2011 to March 2015 for suspected congenital cystic lung were included in the study. Patients treated for congenital lobar emphysema and tracheobronchial neoplasms were excluded from the study. Results: In the analyzed period, 31 asymptomatic patients were treated: 18 lung resections were performed with thoracotomy (Group A) and 13 with the thoracoscopic approach (Group B). No significant differences were observed between the age and weight at surgery, length of the procedures, complications, and the need for postoperative intensive care between the two groups. The postoperative hospital stay in Group A was twice that for Group 2 (p = 0.0009). Conclusion: Comparing thoracoscopic surgery with the traditional open approach, we confirmed the superiority of minimally invasive treatment in terms of postoperative hospital stay. Common technical recommendations can help pediatric centers to develop the thoracoscopic approach for the treatment of congenital pulmonary malformations.
| Original language | English |
|---|---|
| Journal | Pediatrics and Neonatology |
| DOIs | |
| Publication status | Accepted/In press - Jul 15 2015 |
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Keywords
- Congenital lung malformations
- CPAM
- Thoracoscopy
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
Cite this
Congenital Lung Malformations : Shifting from Open to Thoracoscopic Surgery. / Mattioli, Girolamo; Pio, Luca; Disma, Nicola Massimo; Torre, Michele; Sacco, Oliviero; Pistorio, Angela; Zanaboni, Clelia; Montobbio, Giovanni; Barra, Fabio; Ramenghi, Luca Antonio.
In: Pediatrics and Neonatology, 15.07.2015.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Congenital Lung Malformations
T2 - Shifting from Open to Thoracoscopic Surgery
AU - Mattioli, Girolamo
AU - Pio, Luca
AU - Disma, Nicola Massimo
AU - Torre, Michele
AU - Sacco, Oliviero
AU - Pistorio, Angela
AU - Zanaboni, Clelia
AU - Montobbio, Giovanni
AU - Barra, Fabio
AU - Ramenghi, Luca Antonio
PY - 2015/7/15
Y1 - 2015/7/15
N2 - Background: Over the years the need for surgical treatment, timing of intervention, and the type of surgical approach have been discussed, but the treatment of congenital lung malformations remains controversial. The aim of this study was to compare the thoracotomy approach with the thoracoscopic technique by evaluating different surgical outcomes (duration of surgery, postoperative hospital stay, and complications). Methods: All patients operated from January 2011 to March 2015 for suspected congenital cystic lung were included in the study. Patients treated for congenital lobar emphysema and tracheobronchial neoplasms were excluded from the study. Results: In the analyzed period, 31 asymptomatic patients were treated: 18 lung resections were performed with thoracotomy (Group A) and 13 with the thoracoscopic approach (Group B). No significant differences were observed between the age and weight at surgery, length of the procedures, complications, and the need for postoperative intensive care between the two groups. The postoperative hospital stay in Group A was twice that for Group 2 (p = 0.0009). Conclusion: Comparing thoracoscopic surgery with the traditional open approach, we confirmed the superiority of minimally invasive treatment in terms of postoperative hospital stay. Common technical recommendations can help pediatric centers to develop the thoracoscopic approach for the treatment of congenital pulmonary malformations.
AB - Background: Over the years the need for surgical treatment, timing of intervention, and the type of surgical approach have been discussed, but the treatment of congenital lung malformations remains controversial. The aim of this study was to compare the thoracotomy approach with the thoracoscopic technique by evaluating different surgical outcomes (duration of surgery, postoperative hospital stay, and complications). Methods: All patients operated from January 2011 to March 2015 for suspected congenital cystic lung were included in the study. Patients treated for congenital lobar emphysema and tracheobronchial neoplasms were excluded from the study. Results: In the analyzed period, 31 asymptomatic patients were treated: 18 lung resections were performed with thoracotomy (Group A) and 13 with the thoracoscopic approach (Group B). No significant differences were observed between the age and weight at surgery, length of the procedures, complications, and the need for postoperative intensive care between the two groups. The postoperative hospital stay in Group A was twice that for Group 2 (p = 0.0009). Conclusion: Comparing thoracoscopic surgery with the traditional open approach, we confirmed the superiority of minimally invasive treatment in terms of postoperative hospital stay. Common technical recommendations can help pediatric centers to develop the thoracoscopic approach for the treatment of congenital pulmonary malformations.
KW - Congenital lung malformations
KW - CPAM
KW - Thoracoscopy
UR - http://www.scopus.com/inward/record.url?scp=84962282047&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84962282047&partnerID=8YFLogxK
U2 - 10.1016/j.pedneo.2015.10.009
DO - 10.1016/j.pedneo.2015.10.009
M3 - Article
AN - SCOPUS:84962282047
JO - Pediatrics and Neonatology
JF - Pediatrics and Neonatology
SN - 1875-9572
ER -