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Risk factors for thoracic and spinal deformities following lung resection in neonates, infants, and children

Satoshi Makita1, Kenitiro Kaneko2, Yasuyuki Ono2

  • 1Department of Pediatric Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8560, Japan. sat-mkt@med.nagoya-u.ac.jp.

Surgery Today
|October 27, 2016
PubMed

Insights

Pediatric lung resection can cause thoracic and spinal deformities. Thoracoscopic surgery, compared to thoracotomy, significantly reduces this risk in children, especially when delayed past the neonatal period.

Area of Science:

  • Pediatric Surgery
  • Thoracic Surgery
  • Congenital Lung Disease

Background:

  • Lung resection in children for congenital lung disease can lead to significant thoracic and spinal deformities.
  • Identifying risk factors and preventative surgical strategies is crucial for improving long-term outcomes.

Purpose of the Study:

  • To identify risk factors for thoracic and spinal deformities after pediatric lung resection.
  • To evaluate if thoracoscopic surgery decreases the risk of these complications compared to traditional thoracotomy.

Main Methods:

  • Retrospective review of medical records for pediatric patients who underwent lung resection between 1989 and 2014.
  • Analysis of patient demographics, surgical approach (thoracotomy vs. thoracoscopy), and occurrence of thoracic/spinal deformities.

Main Results:

  • 37% of 74 pediatric patients developed thoracic or spinal deformities post-lung resection.
  • Risk factors identified included thoracotomy, neonatal age (<1 month), and symptomatic presentation.
  • Multivariate analysis confirmed thoracotomy and neonatal age as independent risk factors.

Conclusions:

  • Thoracoscopic lung resection in children is associated with a lower risk of developing thoracic and spinal deformities.
  • Delaying lung resection until 2-3 months of age may further mitigate deformity risks.
Abstract

Keywords:
Congenital lung diseaseLate complicationsLung resectionSpinal deformitiesThoracic deformitiesThoracoscopic surgery

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