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Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

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Published on: April 19, 2024

Experience with 144 consecutive pediatric thoracoscopic lobectomies.

Craig T Albanese¹, Steven S Rothenberg

¹Department of Surgery, Division of Pediatric Surgery, Lucile Packard Children's Hospital at Stanford University Medical Center, Stanford, California 94305-5733, USA.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A

|June 16, 2007

Summary

Pediatric thoracoscopic lobectomy is safe and effective for children of all ages, showing low morbidity and no mortality. This minimally invasive approach avoids the potential long-term musculoskeletal issues associated with traditional thoracotomy.

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Area of Science:

Pediatric Surgery
Thoracic Surgery
Minimally Invasive Surgery

Background:

Pediatric thoracoscopic lobectomy has been previously reported.
This study updates combined experience with the technique and evaluates outcomes.

Purpose of the Study:

To evaluate the safety, efficacy, and long-term outcomes of pediatric thoracoscopic lobectomy.
To assess the technique's suitability for children of all ages and sizes.

Main Methods:

144 consecutive pediatric patients underwent thoracoscopic lobectomy between 1995 and 2005.
Procedures involved valved ports and single-lung ventilation.
Follow-up ranged from 1 to 10 years.

Main Results:

97.9% of procedures were completed thoracoscopically.
Low intraoperative (1) and postoperative (4) complication rates were observed.
Median hospital stay was 2.8 days, with no reoperations or long-term musculoskeletal deformities.

Conclusions:

Thoracoscopic lobectomy is a safe and effective technique for pediatric patients.
The procedure offers low morbidity and no mortality.
Long-term outcomes are favorable, avoiding potential thoracotomy-related complications.