Zhuang Zhulun,Mo Xuming,Zhang Yuxi,et al. Clinical efficacy of conventional thoracotomy versus complete thoracoscopy for pulmonary sequestration in children.[J].Journal of Clinical Pediatric Surgery,,18():34-38.
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 Clinical efficacy of conventional thoracotomy versus complete thoracoscopy for pulmonary sequestration in children.

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第18卷 Number: 2019 01 Page: 34-38 Column: 论著 Date of publication: 2019-01-20
Author(s):
 Zhuang Zhulun; Mo Xuming; Zhang Yuxi; Sun Jian; Peng Wei; Qi Jirong; Wu Kaihong; Yu Di; Zhu Yu.
 Affiliated Childrens Hospital,Nanjing Medical University,Nanjing 210008,China.
Keywords:
 ; Child;  Surgical Procedures;  Thoracscopes;  Bronchopulmonary Sequestration;  Operative Therapy
Document code:
A
Abstract:
ObjectiveTo compare the safety and efficacy of conventional thoracotomy versus complete thoracoscopy for pulmonary sequestration (PS) of children.MethodsRetrospective analysis was performed for the clinical data of 66 children from May 2010 to January 2018.They were divided into two groups of conventional thoracotomy (n=39) and complete thoracoscopy (n=27).Two groups were compared with regards to operative duration,amount of blood loss,volume of postoperative chest drainage,time of chest drainage and postoperative hospital stay.ResultsIn complete thoracoscopy group,one case was converted into open thoracotomy,There was no intraoperative mortality.Recovery was smooth without any serious complication.All cases were cured and discharged postoperatively.The average followup periods of both groups were 0.7 and 4.1 years respectively.The average operative duration was (80±5.6)min,average volume of intraoperative blood loss (20±9.2)ml,average postoperative hospital stay (5.1±2.1) days,average volume of postoperative drainage (50±9.6)ml and average time of chest drainage (4±1.3) days.All values were superior to those of conventional thoracotomy (P<0.05).ConclusionBoth safe and feasible,complete thoracoscopy for pulmonary sequestration is superior to conventional thoracotomy in terms of volume of blood loss,time of chest drainage,postoperative hospital stay,cardiopulmonary function and incision length.
Last Update: 2019-01-22