Wang Yunjin,Zhou Chaoming,Cui Xu,et al.Clinical efficacies of different surgical approaches for pediatric pulmonary sequestration.[J].Journal of Clinical Pediatric Surgery,,17():345-348.
Clinical efficacies of different surgical approaches for pediatric pulmonary sequestration.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 05
Page:
345-348
Column:
专题讨论
Date of publication:
2018-05-28
- Keywords:
- Bronchopulmonary Sequestration; Thoracscopes; Traditional thoracotomy; Different surgical; Child
- Document code:
- A
- Abstract:
- ObjectiveTo compare the clinical efficacy of thoracoscopy versus traditional thoracotomy for pediatric pulmonary sequestration (PS).MethodsTwentysix cases of PS were operated from March 2012 to March 2017.According to different surgical approaches,they were divided into thoracoscopy and traditional thoracotomy groups.The parameters of operative duration,blood loss,postoperative chest drainage time and postoperative hospitalization stay were analyzed.ResultsAll procedures were successfully completed without mortality.Independent sample t test indicated that the mean operative duration was (118.36±7.61) min in thoracoscopy group and (119.60±7.11) min in traditional thoracotomy group (t=-0.425,P=0.674).The intraoperative blood loss in endoscopic group was less than that in open thoracotomy group ［(2.18±0.40) vs (4.47±0.64) mL］ (t=-11.125,P=0.000).The average length of chest tube placement was (3.54±0.69) days in endoscopic group and (6.67±0.98) days in open thoracotomy group .The thoracoscopic group had less postoperative chest drainage time than thoracotomy group.And there were significant intergroup differences (t=-9.064, P=0.000).The mean postoperative hospitalization stay of thoracoscopic group was less than that of thoracotomy group ［(7.54±0.82) vs (8.80±0.77) days］.And the intergroup difference was statistically significant (t=-3.981,P=0.001).Three postoperative complications occurred in thoracoscopic group,including pulmonary infection (n=2) and atelectasis (n=1).And 6 cases of postoperative complications occurred in thoracotomy group,including pulmonary infection (n=4) and atelectasis (n=2).And the intergroup incidence of postoperative complications was not statistically significant by chisquare test.Four patients were lost and the remainder was followed up for 1 to 2 years.Among them,2 patients developed pneumonia and others recovered well.ConclusionThoracoscopy for PS has smaller incision,less bleeding,faster recovery,shorter length of postoperative hospitalization stay and fewer postoperative complications,etc.
Last Update:
2018-05-23