[Thoracoscopic anatomical lung resection in children]

Area of Science:

• Pediatric Surgery
• Thoracic Surgery
• Minimally Invasive Procedures

Context:

• Limited expertise exists globally for minimally invasive anatomical lung resections in pediatric patients.
• This study evaluates thoracoscopic lung resections performed at a single pediatric surgical center.

Purpose:

• To assess the safety and efficacy of thoracoscopic anatomical lung resections in children.
• To identify potential challenges and reasons for conversion to open surgery.

Summary:

• Eighty-eight children underwent thoracoscopic surgery, with 19 lung resections (8 anatomical). Procedures used carbon dioxide insufflation and small ports, with specimen removal via a small incision.
• Median age was 5.6 years; median operation time was 150 minutes. Conversion to open surgery occurred in 3 cases due to bleeding, stiff lungs (cystic fibrosis), or malformations.
• No postoperative complications were observed, demonstrating the feasibility of thoracoscopic lung resections in children with good cosmetic results.

Impact:

• Thoracoscopic lung resections can be performed safely in children, offering excellent cosmetic results.
• This approach may help avoid comorbidities associated with open procedures, such as rib fusion or thoracic deformities.
• Identifying reasons for conversion, like poor visualization or congenital anomalies, can refine surgical planning and improve outcomes.