Thoracoscopic Lobectomy and Segmentectomy in Children

Abstract

Objectives: In the last decade, video-assisted thoracoscopic surgery (VATS) is gaining broad popularity in pediatric surgery. The purpose of this study is to analyze the clinical and histopathological results of VATS in pediatric population in a minimum 1-year follow-up period. Materials and Methods: All patients undergoing an elective lobectomy or segmentectomy with VATS were enrolled for the study. Medical charts of the enrolled patients were retrospectively evaluated and the data of the patients who met the inclusion criteria were extracted for the final analysis. Patients’ demographics including gender and age, indications for VATS and past surgical history, preoperative investigations, comorbidities, intraoperative findings, operative data, postoperative course including any morbidity and mortality were recorded. Results: There were 26 patients (13 males, 13 females). The main indication for VATS was congenital pulmonary airway malformation (10 patients). There were only two segmentectomies. The remaining 24 patients had undergone lobectomies. Only two patients had multi-lobectomies. In four patients, conversion to thoracotomy was required because of bleeding and inadequate exposure. The mean operation time was 107 mins. Chest tube was placed in all of the patients and removed between the postoperative 2nd and 10th days (median=4 days) and the average discharge time was 5.7 days (3-12 days). Conclusion: VATS is a safe and effective surgical procedure not only for the adults but also for the pediatric population. It has low complication rates with faster recovery time especially for the pediatric cases that have malignancies.

Keywords

• Child
• Lobectomy
• Minimal Invasive Surgery
• Segmentectomy
• Thoracoscopy

Çocuklarda Torakoskopik Lobektomi ve Segmentektomi

Abstract

References

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