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Thoracoscopic resection of intra- and extralobar pulmonary sequestration in the first 3 months of life.

Abstract：

BACKGROUND:Thoracoscopic techniques have gained increasing acceptance in pediatric surgery, but experience with newborns and small children is limited. To our knowledge, a series of minimally invasive resection of pulmonary sequestration in newborns has not yet been reported in the literature. We report on 5 patients with pulmonary sequestration thoracoscopically. METHODS:From November 2000 to November 2002, 5 patients underwent thoracoscopic resection of pulmonary sequestration. Ages ranged from 4 to 91 days. Two patients had postnatal pulmonary symptoms. Preoperative diagnosis was dubious in 4 children. There were 4 extralobar and 1 intralobar pulmonary sequestrations. RESULTS:Thoracoscopy was performed with 3-mm instruments and 3 to 5 ports. All procedures were completed successfully. The median duration of the operation was 95 minutes (range, 63-117 minutes), and visualization was excellent. Anomalous blood vessels were clipped and/or ligated. Four patients were extubated immediately after the operation, 1, the day after. The postoperative course was uneventful in all children. At follow-up after 14 months (mean; range, 10-19 months), all patients were free of symptoms and had normal chest x-rays. CONCLUSION:Thoracoscopy is feasible for resection of intra- and extralobar pulmonary sequestrations during the first 3 months of life.

journal_name

J Pediatr Surg

journal_title

Journal of pediatric surgery

authors

Jesch NK,Leonhardt J,Sumpelmann R,Gluer S,Nustede R,Ure BM

doi

10.1016/j.jpedsurg.2005.05.097

subject

Has Abstract

pub_date

2005-09-01 00:00:00

pages

1404-6

issue

9

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(05)00411-2

journal_volume

40

pub_type

杂志文章

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