Zhang Na,Zeng Qi,Chen Chenghao,et al.Comparative study of outcomes for thoracoscopic versus open resection of pulmonary sequestration at a single pediatric institution:a report of 208 cases.[J].Journal of Clinical Pediatric Surgery,,17():336-340.
Comparative study of outcomes for thoracoscopic versus open resection of pulmonary sequestration at a single pediatric institution:a report of 208 cases.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 05
Page:
336-340
Column:
专题讨论
Date of publication:
2018-05-28
- Keywords:
- Bronchopulmonary Sequestration; Surgical Procedures; Operative; Therapy; Thoracscopes; Child
- Document code:
- A
- Abstract:
- ObjectiveTo compare the advantages and disadvantages of thoracoscopy versus thoracotomy for different types of pulmonary sequestration (PS) so as to provide rationales for its optimal treatments.MethodsA retrospective study was performed for 208 hospitalized PS children from January 2005 to October 2017.They were divided into extralobar (ELS) and intralobar (ILS) groups.And each group was further divided into thoracotomy and thoracoscopic surgery (VAT) subgroups.Intraoperative loss of hemorrhage,operative duration,chest drainage,thoracic drainage time and postoperative hospitalization length were compared between two groups.ResultsAll 208 cases were operated successfully.In intralobar PS group,thoracotomy (n=53) and thoracoscopy (n=90) were performed.In extralobar PS group,thoracotomy (n=10) and thoracoscopy (n=48),neck surgery (n=2) and laparoscopy (n=2) were performed.In intralobar PS group,the mean operative durations of VAT and thoracotomy groups were（72.53±40.80）versus (107.86±40.56）min.And the intergroup difference was statistically significant (t=4.77,P<0.001).The mean intraoperative hemorrhage was (4.86±7.76) mL in VAT group versus (36.53±38.40) mL in thoracotomy group.And the intergroup difference was statistically significant（t=5.70,P<0.001).The mean thoracic drainage time was（5.12±2.46）days in VAT group versus (5.67±0.816）days in thoracotomy group.And the intergroup difference was statistically insignificant（t=0.54,P=0.60).The mean chest drainage was (310.16±265.96) mL in VAT group versus (107.86±40.56) mL in thoracotomy group.And the intergroup difference was statistically insignificant (t=0.03,P=0.98).The mean postoperative hospitalization length was (7.42±3.04) days in VAT group versus (10.50±2.07) days in thoracotomy group.The postoperative hospitalization length was less in VAT group than that in thoracotomy group and the difference was statistically significant（t=2.42,P<0.05）.In extralobar PS group,the mean operative duration was (39.28±20.060) min in VAT group versus (57.50±15.58) min in thoracotomy group.And the difference was statistically significant (t=2.42,P<0.05).The mean intraoperative hemorrhage was (2.26±1.41）mL in VAT group versus (9.13±7.38) mL in thoracotomy group.And the intraoperative hemorrhage of VAT group was less than that of thoracotomy group and the difference was statistically significant (t=2.62,P<0.05).ConclusionFor PS,especially extralobar,thoracoscopy has smaller surgical incision,less intraoperative hemorrhage,faster recovery and shorter hospitalization stay than those of traditional thoracotomy.Both reliable and safe,thoracoscopy offers more advantages than thoracotomy and it is preferred for PS.
Last Update:
2018-05-23