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Thoracoscopic lung resection in children.

S S Rothenberg1

  • 1The Hospital for Infants and Children at Presbyterian/St Lukes, National Jewish Medical and Research Center, Denver, CO, USA.

Journal of Pediatric Surgery
|February 29, 2000
PubMed
Summary
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Video-assisted thoracic surgery (VATS) is a safe and effective method for diagnosing and treating pediatric lung conditions. This minimally invasive technique was successfully used in 113 young patients for biopsies and resections.

Area of Science:

  • Pediatric Surgery
  • Thoracic Surgery
  • Minimally Invasive Procedures

Background:

  • Pediatric lung diseases require effective surgical interventions.
  • Traditional thoracotomy can be associated with significant morbidity in young patients.
  • Advancements in surgical technology offer potential for improved outcomes.

Purpose of the Study:

  • To evaluate the efficacy and safety of video-assisted thoracic surgery (VATS) for lung resections in infants and children.
  • To assess the applicability of VATS in a diverse range of pediatric pulmonary pathologies.

Main Methods:

  • A retrospective review of 113 consecutive pediatric patients (3 weeks to 19 years) undergoing VATS between December 1992 and December 1998.
  • Procedures included wedge biopsies, resection of bullous/cystic disease, lobectomies, segmental resections, and bronchogenic cyst removal.

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  • Data collected included operative time, hospital stay, and complications.

    • Main Results:

    • All 113 VATS procedures were completed successfully.
    • Average operative times were 26 minutes for wedge biopsy and 210 minutes for lobectomy.
    • Average hospital stay post-wedge resection was 1.1 days with no VATS-related complications.
    • Two patients required conversion to thoracotomy due to extensive metastatic disease.

    Conclusions:

    • Video-assisted thoracic surgery (VATS) is a safe and effective approach for the diagnosis and treatment of pediatric lung diseases.
    • VATS offers a minimally invasive option for lung biopsies and resections in the pediatric population.
    • The technique demonstrates a favorable safety profile and short recovery times for pediatric patients.