Bao Pingqian,Huang Dongmei,Li Jie,et al.Clinical managements of extralobar pulmonary sequestration in children[J].Journal of Clinical Pediatric Surgery,,():868-871.[doi:10.3760/cma.j.cn101785-202405005-012]
Clinical managements of extralobar pulmonary sequestration in children
- Abstract:
- Objective Currently there are still wide disagreements over the treatment options for extralobar pulmonary sequestration (ELS).This study aimed to clarify the characteristics of ELS in children and provide references for an optimal clinical treatment of ELS. Methods The relevant clinical data were retrospectively reviewed for 85 ELS children hospitalized at West China Hospital from January 2013 to April 2020.According to the different locations of ELS, they were assigned into three groups of upper-diaphragmatic (n=70), intra-diaphragmatic (n=7) and infra-diaphragmatic (n=8).Operative age, operative duration, blood loss, postoperative hospital stay, focal infection and postoperative complications were compared. Results All lesions were detected by prenatal ultrasound.No statistically significant differences existed in operative age and postoperative hospitalization stay among three groups (P>0.05).Upper/intra-diaphragmatic group underwent thoracoscopic resection.In infra-diaphragmatic group, surgery (n=1) and conservative observations (n=7) were performed.Operative duration and blood loss [(23.07±6.79), (3.18±4.94) mL]were significantly lower in upper-diaphragmatic group than those in intra-diaphragmatic group [(40.14±9.92), (9.29±3.45) mL]and infra-diaphragmatic group (70, 30 mL) (P < 0.05).None of three groups had thoracic drainage tubing.During a follow-up period of at least 3 months, no complications occurred.Non-operated children in infra-diaphragmatic group showed no symptoms or focal enlargement. Conclusions ELS carries the risks of infection and torsion.Due to its small mini-invasiveness and low perioperative risk, thoracoscopy is ideal for upper-diaphragmatic ELS and it may evolve into a safe and rapid-recovery day-case procedure.Intra/infra-diaphragmatic ELS requires a larger sample size and multiple center data to develop a better management approach.
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Memo
收稿日期:2024-5-6。
基金项目:四川大学华西医院学科卓越发展1·3·5工程临床研究基金(2023HXFH039)
通讯作者:徐畅，Email: huaxixuchang@163.com