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Noncardiac thoracic surgery in children. A retrospective study
1Department of Thoracic and Cardiovascular Surgery, Odense University Hospital, Denmark.
Scandinavian Cardiovascular Journal : SCJ
|December 3, 1998
Summary
Noncardiac thoracic surgery in children is generally well-tolerated. However, serious underlying conditions, such as malignant diseases, significantly increase mortality risk in pediatric patients undergoing these procedures.
Area of Science:
- Pediatric Surgery
- Thoracic Surgery
- Clinical Outcomes
Background:
- Noncardiac thoracic surgery is performed in children for various indications.
- Neonatal pneumothorax, congenital pulmonary malformations, and secondary involvement of intrathoracic organs are common reasons.
Purpose of the Study:
- To evaluate the outcomes and mortality associated with noncardiac thoracic surgery in pediatric patients.
- To identify factors influencing survival after these procedures.
Main Methods:
- A retrospective study of 126 children under 16 years old who underwent noncardiac thoracic surgery over a 10-year period.
- Analysis of surgical procedures, primary diagnoses, and patient outcomes, including mortality.
Main Results:
- Chest-tube insertion for neonatal pneumothorax had a high early mortality (12/33).
- Primary intrathoracic disorders had no early postoperative deaths, but 7 later died.
- Surgery for secondary organ involvement, often due to malignancy, resulted in 11 deaths at follow-up.
Conclusions:
- Noncardiac thoracic surgery in children is generally well-tolerated.
- Serious underlying conditions, particularly malignancy, are associated with increased mortality.
- Careful patient selection and management are crucial for improving outcomes in pediatric thoracic surgery.