Thoracoscopic Lobectomy and Segmentectomy in Children
Journal Title: Journal of Ankara University Faculty of Medicine - Year 2020, Vol 73, Issue 2
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.
Authors and Affiliations
Ufuk Ateş, Nil Yaşam Taştekin, Ergun Ergün, Kutay Bahadır, Gülnur Göllü, Meltem Bingöl Koloğlu, Tanju Aktuğ, Hüseyin Dindar, Aydın Yağmurlu
Keywords
Related Articles
- EP ID EP684822
- DOI 10.4274/atfm.galenos.2019.28247
- Views 153
- Downloads 0
Percutaneous Cholecystostomy for Acute Calculous Cholecystitis in Elderly Patients
Objectives: To investigate the efficacy, safety, recurrence and reintervention rates of percutaneous cholecystostomy (PC) in elderly patients with acute calculous cholecystitis (ACC). Materials and Methods: The data of...
Hepatitis - HIV Seroprevalence and Immunization Rates Against Vaccine-preventable Diseases Among Trainee Nurses
Objectives: To reveal the seroprevalence rates of hepatitis B, C and human immunodeficiency virus (HIV), and the immunization rates against hepatitis A, hepatitis B, measles, mumps, rubella, chickenpox and tetanus among...
Correlation of Computed Tomography Findings with Histopathology in Small Lung Adenocancer
Objectives: To analyse the correlation between computed tomography (CT) features and histopathological findings of small lung adenocancers using the International Association for the Study of Lung Cancer/American Thoraci...
Demographic and Clinical Characteristics of Ankara Haymana Thermal Center Applicants: A Cross-sectional Case Study
Objectives: Based on Ankara Haymana Thermal Centers, We questioned the availability of these data in the configuration of the centers by determining the purpose and manne r in which the balneotheraphy centers are used by...
Does the Reduction of the Local Anesthetic Dose Provide Surgical Anesthesia While Avoiding Maternal Hypotension in Obese Pregnant Women for C/S with Single-shot Spinal Anesthesia?
Objectives: Anesthesia for pregnant patients requires attention because it affects two healthy people: the mother and the baby. Both general and regional anesthesia are options, although regional anesthesia is generally...