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Pediatric pulmonary resections: indications, surgical approaches, and outcomes in a 15-year single-center experience
Atilla Can1, Halil Şen2, Hüseyin Yıldıran3
1Department of Thoracic Surgery, Faculty of Medicine, Selçuk University, Konya, Turkey. atillacan_ac@yahoo.com.
Insights
Pediatric pulmonary resections for various lung diseases showed favorable outcomes, with no major complications or deaths within 90 days. Follow-up deaths were limited to patients with malignant diagnoses.
Area of Science:
- Pediatric Surgery
- Thoracic Surgery
- Pulmonology
Background:
- Pediatric pulmonary resections address diverse conditions including congenital, infectious, and neoplastic diseases.
- Clinical outcomes and surgical strategies for these procedures require continuous evaluation.
Purpose of the Study:
- To assess the indications for pediatric pulmonary resections.
- To analyze surgical techniques employed in these procedures.
- To evaluate the clinical outcomes of pediatric pulmonary resections.
Main Methods:
- Retrospective analysis of 41 pediatric pulmonary resection cases at a single center.
- Review of medical records for demographic data, resection type, pathology, and outcomes.
- Data analysis focused on perioperative results and long-term follow-up.
Main Results:
- Wedge resection was the most common procedure (75.6%), with bullous emphysema as the frequent diagnosis (51.2%).
- Most resections (86.1%) were for benign conditions; 13.9% were for malignant conditions.
- No major postoperative complications or 90-day mortality were observed; three deaths occurred during follow-up, all in patients with malignant diagnoses.
Conclusions:
- Pediatric pulmonary resections demonstrate favorable perioperative outcomes, including low complication and mortality rates.
- Individualized surgical approaches are tailored to lesion characteristics and feasibility.
- Outcomes are influenced by underlying pathology, with mortality concentrated in malignant cases.
Background:
Pediatric pulmonary resections are performed for a wide spectrum of congenital, infectious, and neoplastic diseases; however, clinical outcomes and surgical approaches remain subjects of ongoing evaluation.
Aims:
To evaluate the indications, surgical techniques, and clinical outcomes of pediatric pulmonary resections.
Study Design:
A retrospective, single-center case series.
Methods:
Medical records of 41 pulmonary resection procedures performed in pediatric patients were reviewed retrospectively. Data on demographic characteristics, type of resection, laterality, pathological diagnoses, and postoperative outcomes were analyzed.
Results:
Wedge resection was the most frequently performed procedure (75.6%), while bullous emphysema was the most common pathological diagnosis (51.2%). Of all resection procedures, 86.1% were associated with benign and 13.9% with malignant conditions. No major postoperative complications and no 90-day mortality were documented in the reviewed records. During follow-up, three patients died, all of whom had malignant diagnoses.
Conclusion:
In this retrospective single-center mixed-pathology case series, pediatric pulmonary resections were associated with favorable observed perioperative outcomes, with no documented major postoperative complications or 90-day mortality. Operative strategy was individualized according to lesion type, extent, and surgical feasibility, while follow-up deaths were confined to patients with malignant diagnoses.