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Conference Paper: Thoracoscopic repiar of congenital diaphragmatic hernia: two centres' experience of 57 patients

TitleThoracoscopic repiar of congenital diaphragmatic hernia: two centres' experience of 57 patients
Authors
Issue Date2014
Citation
The 47th Annual Scientific Meeting of the Pacific Association of Pediatric Surgeons (PAPS 2014), Banff, AB., Canada, 25-29 May 2014. How to Cite?
AbstractBACKGROUND/PURPOSE: With the advancement in laparoscopic techniques, thoracoscopic approach is gaining popularity in the treatment of congenital diaphragmatic hernia (CDH). In this study, we reviewed our early experience using this approach. METHODS: All patients who underwent thoracoscopic repair of CDH between 2009 and 2013 at two tertiary referral centres were identified. Medical records were retrospectively reviewed. Patients’ demographics, peri-operative outcomes, length of hospitalization and post-operative complications were analyzed. RESULTS: 57 patients were identified (43 males and 14 females). 5 patients had delayed presentation with operations done over 1 month old. The mean body weight was 2.88kg for patients operated in neonatal period. Left side was more prevalent (n=48). Mean operative time was 87.1 minutes (range 31-194 minutes). No conversion was required in any of the patients. All patients were routinely intubated and paralyzed in neonatal intensive care units for 3 days after operation. Average hospital stay was 14.6 days. There was no mortality in this series. There were 5 recurrences (8.8%), 3 of these were repaired openly and 2 thoracoscopically. No musculoskeletal deformity noted on follow-up. CONCLUSIONS: Thoracoscopic repair of CDH can be performed safely in specialized centres with good post-operative recovery, outcome and cosmesis.
DescriptionOral Presentations - MIS/Robotics (MIS): no. MIS7
Persistent Identifierhttp://hdl.handle.net/10722/198209

 

DC FieldValueLanguage
dc.contributor.authorHuang, JSen_US
dc.contributor.authorLau, CTen_US
dc.contributor.authorWong, WYen_US
dc.contributor.authorTao, Qen_US
dc.contributor.authorWong, KKYen_US
dc.contributor.authorTam, PKHen_US
dc.date.accessioned2014-06-25T02:54:47Z-
dc.date.available2014-06-25T02:54:47Z-
dc.date.issued2014en_US
dc.identifier.citationThe 47th Annual Scientific Meeting of the Pacific Association of Pediatric Surgeons (PAPS 2014), Banff, AB., Canada, 25-29 May 2014.en_US
dc.identifier.urihttp://hdl.handle.net/10722/198209-
dc.descriptionOral Presentations - MIS/Robotics (MIS): no. MIS7-
dc.description.abstractBACKGROUND/PURPOSE: With the advancement in laparoscopic techniques, thoracoscopic approach is gaining popularity in the treatment of congenital diaphragmatic hernia (CDH). In this study, we reviewed our early experience using this approach. METHODS: All patients who underwent thoracoscopic repair of CDH between 2009 and 2013 at two tertiary referral centres were identified. Medical records were retrospectively reviewed. Patients’ demographics, peri-operative outcomes, length of hospitalization and post-operative complications were analyzed. RESULTS: 57 patients were identified (43 males and 14 females). 5 patients had delayed presentation with operations done over 1 month old. The mean body weight was 2.88kg for patients operated in neonatal period. Left side was more prevalent (n=48). Mean operative time was 87.1 minutes (range 31-194 minutes). No conversion was required in any of the patients. All patients were routinely intubated and paralyzed in neonatal intensive care units for 3 days after operation. Average hospital stay was 14.6 days. There was no mortality in this series. There were 5 recurrences (8.8%), 3 of these were repaired openly and 2 thoracoscopically. No musculoskeletal deformity noted on follow-up. CONCLUSIONS: Thoracoscopic repair of CDH can be performed safely in specialized centres with good post-operative recovery, outcome and cosmesis.-
dc.languageengen_US
dc.relation.ispartof47th PAPS Annual Scientific Meeting 2014en_US
dc.titleThoracoscopic repiar of congenital diaphragmatic hernia: two centres' experience of 57 patientsen_US
dc.typeConference_Paperen_US
dc.identifier.emailWong, KKY: kkywong@hku.hken_US
dc.identifier.emailTam, PKH: paultam@hku.hken_US
dc.identifier.authorityWong, KKY=rp01392en_US
dc.identifier.authorityTam, PKH=rp00060en_US
dc.identifier.hkuros229592en_US

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