Journal article
Segmental resection for the treatment of congenital pulmonary malformations
Journal of pediatric surgery, Vol.49(6), pp.905-909
06/2014
DOI: 10.1016/j.jpedsurg.2014.01.021
PMID: 24888832
Abstract
The purpose of this study was to compare clinical outcomes of segmental resection to lobectomy as increasing antenatal diagnosis of congenital pulmonary malformations has led to a shift in surgical management.
A retrospective institutional review for patients undergoing surgical excision of congenital pulmonary malformations was performed.
Sixty-two patients with congenital pulmonary malformations were reviewed between 2001 and 2012. Forty-five were included for analysis. Malformations were subdivided into two groups, including congenital lobar emphysema (CLE) (n=11, 24%) and intrapulmonary (IP) lesions (n=34, 76%). Nineteen (56%) IP patients underwent segmental resection, and 15 (79%) were performed thoracoscopically without conversion to thoracotomy. None of these patients had recurrent disease. Lobectomy was performed in 11 (100%) CLE and 15 (44%) IP patients, and the majority were by thoracotomy. Median hospital stay was longer for the lobectomy group at 7days when compared to the segmentectomy group at 2days (p<0.001). There was not a difference in complication rate (21% vs. 19%, p=1.000) or in median number of chest tube days (2 vs. 3days, p=0.079) for segmentectomy versus lobectomy patients.
Segmental resections of congenital pulmonary malformations can be performed safely while conserving healthy lung tissue.
Details
- Title: Subtitle
- Segmental resection for the treatment of congenital pulmonary malformations
- Creators
- Naina Bagrodia - Department of Surgery, Division of Pediatric Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USAShannon Cassel - Department of Surgery, Division of Pediatric Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USAJunlin Liao - Department of Surgery, Division of Pediatric Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USAGraeme Pitcher - Department of Surgery, Division of Pediatric Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USAJoel Shilyansky - Department of Surgery, Division of Pediatric Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA. Electronic address: joel-shilyansky@uiowa.edu
- Resource Type
- Journal article
- Publication Details
- Journal of pediatric surgery, Vol.49(6), pp.905-909
- DOI
- 10.1016/j.jpedsurg.2014.01.021
- PMID
- 24888832
- NLM abbreviation
- J Pediatr Surg
- ISSN
- 0022-3468
- eISSN
- 1531-5037
- Publisher
- United States
- Language
- English
- Date published
- 06/2014
- Academic Unit
- Stead Family Department of Pediatrics; Surgery; Injury Prevention Research Center
- Record Identifier
- 9984051585302771
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