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Enhanced recovery after minimally invasive pneumonectomies in children

Shuai Li1, Mijing Fang1, Rui Yin1

  • 1Department of Pediatric Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan, 430022, China.

Pediatric Surgery International
|February 15, 2025
PubMed

Insights

Perioperative pulmonary rehabilitation (PR) is safe and feasible for children after thoracoscopic pulmonary resection. This approach may improve recovery, evidenced by earlier ambulation post-surgery.

Area of Science:

  • Pediatric Surgery
  • Pulmonary Medicine
  • Rehabilitation Therapy

Background:

  • Thoracoscopic pulmonary resection is a common surgical procedure in children.
  • Postoperative recovery can be challenging, necessitating effective rehabilitation strategies.

Purpose of the Study:

  • To evaluate the feasibility and impact of perioperative pulmonary rehabilitation (PR) on the recovery of pediatric patients undergoing thoracoscopic pulmonary resection.
  • To compare clinical outcomes between children receiving PR and those who did not.

Main Methods:

  • A cohort study comparing two groups of children undergoing thoracoscopic pulmonary resection from 2015-2021.
  • Group A received perioperative lung rehabilitation management, while Group B did not.
  • Demographics, operative data, complications, and clinical outcomes were analyzed.

Main Results:

  • Sixty-eight children were included (33 in Group A, 35 in Group B), with comparable demographics and pain management.
  • Group A showed a shorter time to first ambulation post-surgery.
  • No significant differences were observed in drainage time, hospital stay, or need for intervention for complications.

Conclusions:

  • Perioperative pulmonary rehabilitation (PR) is a safe and feasible intervention for pediatric patients following thoracoscopic pulmonary resection.
  • PR demonstrates potential benefits in accelerating postoperative recovery, specifically in ambulation.
  • Further research may explore broader impacts on long-term outcomes.
Abstract

Keywords:
Congenital pulmonary airway malformationLobectomyPediatric surgeryPerioperative carePulmonary rehabilitationPulmonary segmentectomy

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