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Pulmonary resections in children: problems and precautions

T E Williams, G A Young, J W Kilman

    Archives of Surgery (Chicago, Ill. : 1960)
    |April 1, 1977
    PubMed
    Summary
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    Pulmonary resection in children is generally safe for conditions like bronchiectasis. However, children with severe congenital cardiopulmonary disease and chronic infections face higher risks.

    Area of Science:

    • Pediatric Surgery
    • Thoracic Surgery
    • Respiratory Medicine

    Background:

    • Pulmonary resections are performed in pediatric patients for various congenital and acquired lung diseases.
    • Indications include bronchiectasis, congenital cysts, and lobar emphysema, necessitating surgical intervention.
    • Assessing the safety and outcomes of these procedures in children is crucial for clinical practice.

    Purpose of the Study:

    • To evaluate the safety and outcomes of pulmonary resections in a pediatric population.
    • To identify specific patient groups at higher risk for complications or mortality.
    • To inform surgical decision-making and patient management strategies.

    Main Methods:

    • A retrospective review of 48 pulmonary resections performed in 45 children.

    Related Experiment Videos

  • Analysis of indications for surgery, including bronchiectasis, congenital cysts, and lobar emphysema.
  • Documentation and analysis of postoperative complications, mortality, and risk factors.

    • Main Results:

    • Forty-eight pulmonary resections were conducted in 45 children.
    • The primary indications were bronchiectasis, congenital cysts, and lobar emphysema.
    • Nine complications occurred in five children, with three deaths, resulting in a 6.7% mortality rate.

    Conclusions:

    • Pulmonary resection can be performed with acceptable safety in most pediatric cases.
    • A high-risk group was identified: children with severe congenital cardiopulmonary disease and chronic/recurrent infections.
    • These findings underscore the need for careful risk assessment and management in complex pediatric thoracic surgery cases.