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Thoracoscopy in the management of congenital lung diseases in infancy

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Abstract

Background

This study aimed to compare the results of thoracoscopic surgery for congenital lung diseases between infants younger than 6 months and those older than 6 months at the time of surgery in terms of operation duration, surgical complications, chest tube duration, and hospital stay.

Methods

The charts of 30 thoracoscopic resections for congenital lung diseases were retrospectively reviewed. This study compared 17 children younger than 6 months (mean, 3.94 months; range, 0.37–5.7 months; group 1) with 13 children older than 6 months (mean, 12.05 months; range, 6.2–24.63 months; group 2) at the time of surgery. The median follow-up period was 9 months (range, 1–41 months).

Results

Lobectomy was performed in 27 cases, bilobectomy in 1 case, and nonanatomic excision in 2 cases. The mean operating time for group 1 (176 ± 54 min) was similar to that for group 2 (160 ± 46 min). The difference is not significant. The mean duration of chest tube drainage was similar in the two groups (4.4 days; range, 1–9 days for group 1 vs. 4.1 days; range, 3–8 days for group 2). The complications included 1 major and 10 minor complications, with no statistically significant difference between the two groups. Three surgical procedures in each group were converted. The hospital stay was not statistically different between the two groups (8 days; range, 3–20 days for group 1 vs. 6 days; range, 4–10 days for group 2).

Conclusions

The study findings showed no statistically significant difference between the two groups in terms of operation time, complication rate, conversion rate, or hospital stay. Lobectomy can be safely and successfully performed by thoracoscopy even for children younger than 6 months.

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References

  1. Adzick NS, Harrison MR, Crombleholme TM, Flake AW, Howell LJ (1998) Fetal lung lesions: management and outcome. Am J Obstet Gynecol 179:884–889

    Article  CAS  PubMed  Google Scholar 

  2. Albanese CT, Sydorak RM, Tsao K, Lee H (2003) Thoracoscopic lobectomy for prenatally diagnosed lung lesions. J Pediatr Surg 38:553–555

    Article  PubMed  Google Scholar 

  3. Aziz D, Langer JC, Tuuha SE, Ryan G, Ein SH, Kim PC (2004) Perinatally diagnosed asymptomatic congenital cystic adenomatoid malformation: to resect or not? J Pediatr Surg 39:329–334 (discussion 329–334)

    Article  PubMed  Google Scholar 

  4. Bal S, Elshershari H, Celiker R, Celiker A (2003) Thoracic sequels after thoracotomies in children with congenital cardiac disease. Cardiol Young 13:264–267

    PubMed  Google Scholar 

  5. Calvert JK, Lakhoo K (2007) Antenatally suspected congenital cystic adenomatoid malformation of the lung: postnatal investigation and timing of surgery. J Pediatr Surg 42:411–414

    Article  PubMed  Google Scholar 

  6. Cano I, Anton-Pacheco JL, Garcia A, Rothenberg S (2006) Video-assisted thoracoscopic lobectomy in infants. Eur J Cardiothorac Surg 29:997–1000

    Article  PubMed  Google Scholar 

  7. d’Agostino S, Bonoldi E, Dante S, Meli S, Cappellari F, Musi L (1997) Embryonal rhabdomyosarcoma of the lung arising in cystic adenomatoid malformation: case report and review of the literature. J Pediatr Surg 32:1381–1383

    Article  PubMed  Google Scholar 

  8. Davenport M, Warne SA, Cacciaguerra S, Patel S, Greenough A, Nicolaides K (2004) Current outcome of antenally diagnosed cystic lung disease. J Pediatr Surg 39:549–556

    Article  PubMed  Google Scholar 

  9. Granata C, Gambini C, Balducci T, Toma P, Michelazzi A, Conte M, Jasonni V (1998) Bronchioloalveolar carcinoma arising in congenital cystic adenomatoid malformation in a child: a case report and review on malignancies originating in congenital cystic adenomatoid malformation. Pediatr Pulmonol 25:62–66

    Article  CAS  PubMed  Google Scholar 

  10. Khosa JK, Leong SL, Borzi PA (2004) Congenital cystic adenomatoid malformation of the lung: indications and timing of surgery. Pediatr Surg Int 20:505–508

    Article  CAS  PubMed  Google Scholar 

  11. Laberge JM, Puligandla P, Flageole H (2005) Asymptomatic congenital lung malformations. Semin Pediatr Surg 14:16–33

    Article  PubMed  Google Scholar 

  12. Lantuejoul S, Nicholson AG, Sartori G, Piolat C, Danel C, Brabencova E, Goldstraw P, Brambilla E, Rossi G (2007) Mucinous cells in type 1 pulmonary congenital cystic adenomatoid malformation as mucinous bronchioloalveolar carcinoma precursors. Am J Surg Pathol 31:961–969

    Article  PubMed  Google Scholar 

  13. Lawal TA, Gosemann JH, Kuebler JF, Gluer S, Ure BM (2009) Thoracoscopy versus thoracotomy improves midterm musculoskeletal status and cosmesis in infants and children. Ann Thorac Surg 87:224–228

    Article  PubMed  Google Scholar 

  14. Marshall KW, Blane CE, Teitelbaum DH, van Leeuwen K (2000) Congenital cystic adenomatoid malformation: impact of prenatal diagnosis and changing strategies in the treatment of the asymptomatic patient. AJR Am J Roentgenol 175:1551–1554

    CAS  PubMed  Google Scholar 

  15. McBride JT, Wohl ME, Strieder DJ, Jackson AC, Morton JR, Zwerdling RG, Griscom NT, Treves S, Williams AJ, Schuster S (1980) Lung growth and airway function after lobectomy in infancy for congenital lobar emphysema. J Clin Invest 66:962–970

    Article  CAS  PubMed  Google Scholar 

  16. Rothenberg SS (2008) First decade’s experience with thoracoscopic lobectomy in infants and children. J Pediatr Surg 43:40–44 (discussion 45)

    Article  PubMed  Google Scholar 

  17. Takeda S, Miyoshi S, Inoue M, Omori K, Okumura M, Yoon HE, Minami M, Matsuda H (1999) Clinical spectrum of congenital cystic disease of the lung in children. Eur J Cardiothorac Surg 15:11–17

    Article  CAS  PubMed  Google Scholar 

  18. Waszak P, Claris O, Lapillonne A, Picaud JC, Basson E, Chappuis JP, Salle BL (1999) Cystic adenomatoid malformation of the lung: neonatal management of 21 cases. Pediatr Surg Int 15:326–331

    Article  CAS  PubMed  Google Scholar 

  19. West D, Nicholson AG, Colquhoun I, Pollock J (2007) Bronchioloalveolar carcinoma in congenital cystic adenomatoid malformation of lung. Ann Thorac Surg 83:687–689

    Article  PubMed  Google Scholar 

  20. Zeidan S, Dubus JC, Dutau H, de Lagausie P (2008) Thoracoscopic right middle lobar bronchus reimplantation for iatrogenic injury in infant: is it a good option? Pediatr Surg Int 24:629–631

    Article  PubMed  Google Scholar 

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Disclosures

Julia Boubnova, Matthieu Peycelon, Olivier Garbi, Marion David, Arnaud Bonnard, and Pascal De Lagausie have no conflicts of interest or financial ties to disclose.

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Authors and Affiliations

  1. Department of Pediatric Surgery, Timone-enfants Hospital, 264 rue Saint Pierre, 13005, Marseille, France

    Julia Boubnova & Pascal De Lagausie

  2. Department of Pediatric Surgery, Robert Debré Hospital, Paris, France

    Matthieu Peycelon & Arnaud Bonnard

  3. Department of Anesthesiology-Reanimation, Timone-enfants Hospital, 264 rue Saint Pierre, 13005, Marseille, France

    Olivier Garbi

  4. Department of Pediatrics–Pulmonary Unit, Timone-enfants Hospital, 264 rue Saint Pierre, 13005, Marseille, France

    Marion David

Authors
  1. Julia Boubnova
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  2. Matthieu Peycelon
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  3. Olivier Garbi
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  4. Marion David
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  5. Arnaud Bonnard
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  6. Pascal De Lagausie
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Corresponding author

Correspondence to Julia Boubnova.

Additional information

Arnaud Bonnard and Pascal De Lagausie have contributed equally to this work.

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Boubnova, J., Peycelon, M., Garbi, O. et al. Thoracoscopy in the management of congenital lung diseases in infancy. Surg Endosc 25, 593–596 (2011). https://doi.org/10.1007/s00464-010-1228-2

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  • DOI: https://doi.org/10.1007/s00464-010-1228-2

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