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Article: Thoracoscopic resection of congenital cystic lung lesions is associated with better post-operative outcomes

TitleThoracoscopic resection of congenital cystic lung lesions is associated with better post-operative outcomes
Authors
KeywordsMinimal invasive surgery
Thorax
Infants
Body weight
Cystic lung
Issue Date2013
Citation
Pediatric Surgery International, 2013, v. 29, n. 4, p. 341-345 How to Cite?
AbstractIntroduction: The incidence of congenital cystic lung lesions has been increasing in recent years due to better antenatal detection. With the introduction and maturation of thoracoscopy, the operative management for these lesions has seen advancement in the last decade. In this study, we aimed to compare the post-operative outcomes of patients who had thoracoscopic resection with those who underwent open resection. Methods: A retrospective review of all patients who underwent surgery for congenital cystic lung lesions between January 1996 and June 2012 in a tertiary referral center was conducted. Patients' demographics, operative procedures and post-operative outcomes were analyzed. Results: Sixty-seven patients were identified over the past 15 years. Thirty-nine patients had thoracoscopic resections and 28 had open resections. Thirteen patients in the thoracoscopic group required conversion. Both groups had similar demographics in terms of age, body weight and laterality of lesions. The mean operative time and blood loss in the two groups were comparable. Patients in the thoracoscopic group had significantly shorter duration of chest tube drainage (4.3 vs. 6.9 days, p = 0.004), shorter intensive care unit stay (2.5 vs. 5.9 days, p = 0.003) and shorter hospital stay (6.9 vs. 12.0 days, p < 0.001). Post-operative complication rate was similar between the two groups. Patients with body weight less than 5 kg showed a significantly higher conversion to open surgery as compared to those with body weight more than 5 kg (62.5 vs. 25.8 %, p = 0.049). Conclusion: Successful thoracoscopic resection for congenital cystic lung lesions results in better post-operative outcomes. However, this technique remains technically challenging in patients with body weight less than 5 kg. © 2012 Springer-Verlag Berlin Heidelberg.
Persistent Identifierhttp://hdl.handle.net/10722/207926
ISSN
2015 Impact Factor: 1.01
2015 SCImago Journal Rankings: 0.409

 

DC FieldValueLanguage
dc.contributor.authorLau, C-
dc.contributor.authorLeung, L-
dc.contributor.authorChan, IHY-
dc.contributor.authorChung, HY-
dc.contributor.authorLan, L-
dc.contributor.authorChan, KL-
dc.contributor.authorWong, KKY-
dc.contributor.authorTam, PKH-
dc.date.accessioned2015-01-26T11:46:43Z-
dc.date.available2015-01-26T11:46:43Z-
dc.date.issued2013-
dc.identifier.citationPediatric Surgery International, 2013, v. 29, n. 4, p. 341-345-
dc.identifier.issn0179-0358-
dc.identifier.urihttp://hdl.handle.net/10722/207926-
dc.description.abstractIntroduction: The incidence of congenital cystic lung lesions has been increasing in recent years due to better antenatal detection. With the introduction and maturation of thoracoscopy, the operative management for these lesions has seen advancement in the last decade. In this study, we aimed to compare the post-operative outcomes of patients who had thoracoscopic resection with those who underwent open resection. Methods: A retrospective review of all patients who underwent surgery for congenital cystic lung lesions between January 1996 and June 2012 in a tertiary referral center was conducted. Patients' demographics, operative procedures and post-operative outcomes were analyzed. Results: Sixty-seven patients were identified over the past 15 years. Thirty-nine patients had thoracoscopic resections and 28 had open resections. Thirteen patients in the thoracoscopic group required conversion. Both groups had similar demographics in terms of age, body weight and laterality of lesions. The mean operative time and blood loss in the two groups were comparable. Patients in the thoracoscopic group had significantly shorter duration of chest tube drainage (4.3 vs. 6.9 days, p = 0.004), shorter intensive care unit stay (2.5 vs. 5.9 days, p = 0.003) and shorter hospital stay (6.9 vs. 12.0 days, p < 0.001). Post-operative complication rate was similar between the two groups. Patients with body weight less than 5 kg showed a significantly higher conversion to open surgery as compared to those with body weight more than 5 kg (62.5 vs. 25.8 %, p = 0.049). Conclusion: Successful thoracoscopic resection for congenital cystic lung lesions results in better post-operative outcomes. However, this technique remains technically challenging in patients with body weight less than 5 kg. © 2012 Springer-Verlag Berlin Heidelberg.-
dc.languageeng-
dc.relation.ispartofPediatric Surgery International-
dc.subjectMinimal invasive surgery-
dc.subjectThorax-
dc.subjectInfants-
dc.subjectBody weight-
dc.subjectCystic lung-
dc.titleThoracoscopic resection of congenital cystic lung lesions is associated with better post-operative outcomes-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s00383-012-3243-y-
dc.identifier.pmid23292534-
dc.identifier.scopuseid_2-s2.0-84876282763-
dc.identifier.hkuros214473-
dc.identifier.volume29-
dc.identifier.issue4-
dc.identifier.spage341-
dc.identifier.epage345-
dc.identifier.eissn1437-9813-

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