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Safety Assessment for Thoracoscopic Day Case Surgery in Children with Congenital Pulmonary Malformation

Aurora Mariani1, Matthieu Peycelon1, Pauline Clermidi1

  • 11 Department of Pediatric Surgery, Robert Debré Hospital , AP-HP, Paris, France .

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|April 10, 2018
PubMed

Insights

Pediatric outpatient thoracoscopy for congenital lung malformations is safe and effective, with high parental satisfaction and no reported complications. This approach offers a viable alternative for select young patients.

Area of Science:

  • Pediatric surgery
  • Thoracic surgery
  • Minimally invasive procedures

Background:

  • Limited data on outpatient thoracoscopy in pediatric patients.
  • Need to evaluate safety and parental acceptance of same-day discharge after pediatric thoracoscopy.

Purpose of the Study:

  • Investigate the safety and feasibility of outpatient thoracoscopy in children.
  • Assess parental satisfaction with the pediatric thoracoscopy outpatient setting.

Main Methods:

  • Retrospective review of 37 thoracoscopies (2013-2016) for congenital pulmonary malformations.
  • Focused analysis on 11 outpatient procedures using a three-port technique.
  • Evaluated 30-day morbidity, readmission, reoperation, and parental feedback via questionnaire.

Main Results:

  • 11 pediatric patients underwent outpatient thoracoscopy (median age 5.3 months) for sequestration or bronchogenic cysts.
  • No intraoperative complications, conversions, or transfusions occurred.
  • Zero 30-day morbidity, readmission, or reoperation rates were observed.

Conclusions:

  • Outpatient thoracoscopy is a safe and effective procedure for pediatric patients with congenital pulmonary malformations.
  • High parental satisfaction indicates acceptance of the outpatient model.
  • This study supports thoracoscopy as a viable same-day surgery option for select pediatric cases.
Abstract

Keywords:
congenital pulmonary airway malformationparent satisfactionpediatric ambulatory surgerysame day surgerytelephone follow-upthoracoscopy

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