[Thoracoscopic lung resection in children]

Area of Science:

• Pediatric Surgery
• Thoracic Surgery
• Congenital Malformations

Background:

• Congenital lung diseases are a primary cause of pulmonary surgical pathology in newborns and infants.
• Surgical intervention is the definitive treatment for these conditions.
• The N.F. Filatov City Children's Hospital has extensive experience with over 1000 endoscopic thoracic operations, including more than 300 lung resections.

Purpose of the Study:

• To analyze the treatment outcomes of 194 infants with congenital lung disease between 2005 and 2014.
• To evaluate the efficacy and safety of thoracoscopic lung resection in this pediatric population.

Main Methods:

• Retrospective analysis of treatment results for 194 infants with congenital lung disease.
• Surgical procedures included urgent operations, operations for compensated respiratory failure, and elective procedures for asymptomatic cases.
• Thoracoscopic lobectomy was the predominant surgical technique.

Main Results:

• 14% of patients required urgent surgery, and 12% underwent surgery for compensated respiratory failure at a young age.
• Elective thoracoscopic lung resection was performed on asymptomatic children between 3 and 8 months.
• Thoracoscopic lobectomy accounted for 62% of procedures, with no intraoperative complications reported.

Conclusions:

• Thoracoscopic lung resection is the preferred surgical method for congenital lung malformations in newborns and infants.
• This technique offers improved intraoperative visualization and precise dissection, leading to better postoperative recovery and reduced hospital stays.