Chen Runsen,Mo Xuming,Qi Jirong,et al.Total thoracoscopic ligation of patent ductusarteriosus in children:a report of 32 cases[J].Journal of Clinical Pediatric Surgery,,22():431-435.[doi:10.3760/cma.j.cn101785-202305004-006]
Total thoracoscopic ligation of patent ductusarteriosus in children:a report of 32 cases
- Keywords:
- Heart Diseases; Congenital Abnormalities; Minimally Invasive Surgical Procedures; Surgical Procedures; Operative; Child
- Abstract:
- Objective To evaluate the efficacy and safety of thoracoscop in the treatment of patent ductus arteriosus (PDA) in children.Methods From January 2017 to April 2023,clinical data were retrospectively reviewed for 32 PDA children undergoing thoracoscopy.There were 15 boys and 17 girls with a median age of 52(6-158) month and a median weight of 18.5(9.1-42.3) kg.Operative duration,volume of intraoperative blood loss,volume of postoperative thoracic drainage,drainage tube removal time and postoperative hospital stay were recorded.Regular postoperative follow-ups were performed.And the occurrences of postoperative complications related to residual shunt,duct recanalization,recurrent nerve injury,chylothorax,pneumothorax and pleural effusion were recorded.Results All procedures were completed via thoracoscopy.There was no intraoperative conversion into thoracotomy.The average operative duration was 71.2(45-95) min,volume of blood loss 5.1(5-26) mL,duration of postoperative mechanical ventilation 2.8(2-4) min,volume of postoperative thoracic drainage 29.6(19-60) mL,drainage tube removal time 1.8(1-4) d and average postoperative hospital stay 4.9(4-7) days.Two case of recurrent laryngeal nerve injury improved after 1-6 months.No other complications occurred during a follow-up period of (1-36) months.Conclusion Thoracoscopy for pediatric PDA is worth further popularized since it both safe and reliable with minimal incision,lesser pain,fewer complications,faster recovery and shorter hospital stay.
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Memo
收稿日期:2023-5-2。
基金项目:江苏省自然科学基金(BK20210032);江苏省科技计划(资金)重大科技示范项目(BE2023710006)
通讯作者:莫绪明,Email:mohsuming15@sina.com