RT Journal Article
T1 Thoracoscopic Lobectomy for Congenital Lung Malformation in Children: Evolving Management Strategies and Their Impact in Outcomes
A1 Lopez, M
A1 Cano, I
A1 Morante, R
A1 García, A
A1 Romero, M
A1 Galindo Izquierdo, Alberto
A1 Antón-Pacheco Sánchez, Juan Luis
AB BackgroundThe aim of this study was to determine the incidence of complications after thoracoscopic lobectomy in children according to a verified classification. Secondary aim was to evaluate the modifications made in our management protocol in order to decrease the rate of complications.MethodsRetrospective study of pediatric patients in whom a lobectomy was performed for congenital lung malformation (CLM) in our institution between 2003 and 2021. The following data were collected: demographics, preoperative clinical symptoms, surgical technical details, and postoperative complications following the Clavien-Dindo (CD) classification. Main outcome measure was the presence of complications in the first month after lung lobectomy.Results90 lobectomies were performed in 89 patients. There were 46 girls (51.6%) and 43 boys with a median age of 12.4 months. Most patients (86.6%) remained asymptomatic until the surgical procedure. Postsurgical complications were detected in 26 cases (28.8%) and distributed into their respective category according to CD classification. In our experience, closure of the bronchial stump with interrupted suture or placement of an endoloop showed a statistically significant association with complications (p=0.022 and p=0.006 respectively). Moreover, patients in which a device combining sealing and section was used showed significantly fewer complications (p=0.006).ConclusionsThoracoscopic lobectomy continues to be a challenging procedure. The CD grading system for postoperative complications has proved to be useful in this setting. Evolving surgical strategies and new miniaturized endosurgical devices have enabled a safer and quicker procedure with a positive impact in the development of complications.
PB Elsevier
SN 0022-3468
YR 2024
FD 2024-10-09
LK https://hdl.handle.net/20.500.14352/114605
UL https://hdl.handle.net/20.500.14352/114605
LA eng
NO Thoracoscopic lobectomy for congenital lung malformation in children: Evolving management strategies and their impact in outcomes. López-Diaz, María et al. Journal of Pediatric Surgery, Volume 0, Issue 0, 161992
DS Docta Complutense
RD 8 abr 2025