Videothoracoscopic surgery in children

Aykut Kankoç1, Muhammet Sayan1, Ali Çelik1

  • 1Department of Thoracic Surgery, Gazi University Faculty of Medicine, Ankara, Türkiye.

Insights

Video-assisted thoracic surgery (VATS) is increasingly used in children, despite limited evidence. Review of pediatric VATS procedures shows variations in frequency, indications, and outcomes based on age groups.

Area of Science:

  • Pediatric Surgery
  • Thoracic Surgery
  • Minimally Invasive Surgery

Background:

  • Video-assisted thoracic surgery (VATS) adoption is rising in pediatric care.
  • Adult VATS benefits drive its use in younger patients, though pediatric evidence is limited.

Purpose of the Study:

  • To review the frequency, indications, and outcomes of VATS in patients under 18.
  • To analyze how VATS procedures and results vary across different pediatric age groups.

Main Methods:

  • Systematic literature search of PubMed, Web of Science, EMBASE, and Cochrane databases.
  • Inclusion of studies on pediatric patients (<18 years) undergoing VATS.
  • Review and synthesis of data on procedure frequency, indications, and outcomes.

Main Results:

  • VATS is frequently performed for various conditions in pediatric patients.
  • The frequency, specific indications, and outcomes of VATS procedures differ significantly among pediatric age subgroups.
  • Evidence supporting VATS advantages in pediatrics remains less robust compared to adults.

Conclusions:

  • VATS is a growing surgical option for pediatric thoracic conditions.
  • Age-specific analysis is crucial for understanding VATS utilization and outcomes in children.
  • Further high-quality research is needed to establish definitive pediatric VATS benefits.

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