Bronchopulmonary sequestrations in a paediatric centre: ongoing practices and debated management
Naziha Khen-Dunlop1,2,3, Konstantinos Farmakis1, Laureline Berteloot4
1Deparmtent of Pediatric Surgery, AP-HP, Hopital Necker-Enfants malades, Paris, France.
Summary
Bronchopulmonary sequestration (BPS) management is debated, especially for asymptomatic cases. Thoracoscopic surgery is effective, but more research is needed to determine the best treatment approach for BPS.
Area of Science:
- Pulmonology
- Pediatric Surgery
- Congenital Malformations
Background:
- Bronchopulmonary sequestration (BPS) is a relatively common congenital lung malformation.
- Management strategies for BPS, particularly in asymptomatic individuals, remain a subject of ongoing discussion.
Purpose of the Study:
- To evaluate the outcomes of different management strategies for bronchopulmonary sequestration.
- To compare the effectiveness of surgical resection (open vs. thoracoscopic) and embolization for BPS treatment.
Main Methods:
- Retrospective review of 99 patients treated for BPS between 2000 and 2015.
- Analysis of management interventions including open surgery, thoracoscopic resection, and embolization.
- Comparison of hospitalization duration and outcomes between different treatment groups and symptomatic vs. asymptomatic patients.
Main Results:
- Thoracoscopic surgery demonstrated a shorter mean hospitalization stay compared to open surgery (4.1 vs. 4.8 days).
- Asymptomatic patients had significantly shorter hospital stays than symptomatic patients (3.5 vs. 5.1 days).
- Embolization was performed in 46 patients, with 13% requiring subsequent surgery; two operated patients died.
Conclusions:
- Thoracoscopic resection is a viable surgical option for bronchopulmonary sequestration.
- Further research into the natural history of BPS is essential to establish optimal management guidelines, including the roles of surgery, embolization, and observation.
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