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Bronchogenic cyst: Clinical course from antenatal diagnosis to postnatal thoracoscopic resection

Sophie Maurin1, Géraldine Hery, Brigitte Bourliere

  • 1Department of Pediatric Surgery, Marseille University, France.

Journal of Minimal Access Surgery
|April 30, 2013
PubMed

Insights

Bronchogenic cysts grow slowly initially but can grow exponentially. Early surgical resection before age two is recommended to prevent complications and ease surgery for pediatric patients.

Area of Science:

  • Pediatric Surgery
  • Thoracic Surgery
  • Neonatal Care

Background:

  • Bronchogenic cysts are congenital lung malformations.
  • Antenatal diagnosis allows for early identification and management planning.
  • Understanding the natural history of bronchogenic cysts is crucial for timely intervention.

Purpose of the Study:

  • To describe a surgical management strategy for bronchogenic cysts.
  • To correlate the natural course of bronchogenic cysts from antenatal diagnosis to surgical resection.
  • To analyze institutional and literature data on pediatric bronchogenic cyst management.

Main Methods:

  • Retrospective review of pediatric patients with antenatally diagnosed bronchogenic cysts (2007-2010).
  • Analysis of clinical features, cyst growth patterns, and surgical indications.
  • Inclusion of six pediatric cases for detailed evaluation.

Main Results:

  • Accurate antenatal diagnosis achieved in 62.5% of cases.
  • Observed slow initial growth, with some cysts doubling in size within the first year.
  • Surgical indications included emphysema and rapid cyst growth; one patient awaiting surgery.

Conclusions:

  • Bronchogenic cysts exhibit slow initial growth, followed by potential exponential expansion.
  • Complete surgical resection before two years of age is advised.
  • Early resection aims to prevent infectious complications and simplify surgical procedures.
Abstract

Keywords:
Adenomatoid malformationantenatal diagnosisbronchogenic cystfetusgrowththoracoscopy

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