Thoracoscopic lobectomy is safe for infants under 4 months.

Operative times average 82 minutes with low complication rates.

Early surgical intervention prevents clinical infections and symptoms.

Minimally invasive techniques reduce hospital stays and morbidity.

Evaluation of Thoracoscopic Lobectomy in Infants for Congenital Lung Lesions: Earlier Is Better!

Topic overview

This research demonstrates that thoracoscopic lobectomy can be safely performed in infants under 4 months with congenital lung lesions, supporting early surgical intervention. The study provides outcome data on minimally invasive approaches for conditions like CPAM in very young patients, challenging traditional timing recommendations.

Key takeaways

Thoracoscopic lobectomy is safe and effective for congenital lung lesions in infants under 4 months of age.
Early surgical intervention (before 4 months) may offer advantages over delayed treatment for congenital lung abnormalities.
Minimally invasive thoracoscopic approach is feasible even in very young infants with congenital pulmonary lesions.

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#pediatricsurgery #minimally_invasive #thoracoscopy #PediatricSurgery #ThoracicSurgery #MinimallyInvasive #CongenitalLungLesions

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Title: Evaluation of Thoracoscopic Lobectomy in Infants for Congenital Lung Lesions: Earlier Is Better! 1. J Pediatr Surg. 2024 Mar;59(3):368-371. doi: 10.1016/j.jpedsurg.2023.10.060. Epub 2023 Oct 29. Evaluation of Thoracoscopic Lobectomy in Infants for Congenital Lung Lesions: Earlier Is Better! Rothenberg S(1), Shipman K(2), Lai S(2), Kay S(2). Author information: (1)The Rocky Mountain Hospital for Children Denver, CO, USA. Electronic address: steverberg@me.com. (2)The Rocky Mountain Hospital for Children Denver, CO, USA. OBJECTIVES: This study evaluates the safety and efficacy of thoracoscopic lobectomy for congenital lung lesions in infants less then 4 months of age. MATERIALS AND METHODS: From January 1997 to October 2022, 194 patients under 4 months of age and weight less then 5.6 Kg underwent video-assisted thoracoscopic lobe resection for CPAM, Sequestration, and CLE. All procedures were performed by or under the direct guidance of a single surgeon. RESULTS: 195 of 196 procedures were completed thoracoscopically. Operative times ranged from 25 min to 195 min (average, 82 min). There were 50 upper, 8 middle, and 136 lower lobe resections. There were 4 intraoperative complications (2.1 %), of which 1 (0.5 %) required conversion to an open thoracotomy. The postoperative complication rate was 3.1 % Hospital length of stay ranged from 1 to 8 days (Avg 1.8) for those admitted for surgery. There were no conversions to open or blood transfusions in the last 15 years. CONCLUSIONS: Thoracoscopic lung resection congenital lung lesions in infants is a safe and efficacious technique and avoids the morbidity of a thoracotomy. Early intervention allows surgery before clinical infections or symptoms occur. Newer instrumentation and techniques allow the operation to be safely performed in the first few months of life with shorter operative times, fewer complications, and decreased hospital stays. The minimal morbidity of this procedure should be considered when considering non-operative management of these patients. Copyright © 2023 Elsevier Inc. All rights reserved. DOI: 10.1016/j.jpedsurg.2023.10.060 PMID: 37973421 [Indexed for MEDLINE]

How to cite: GlobalCastMD. Evaluation of Thoracoscopic Lobectomy in Infants for Congenital Lung Lesions: Earlier Is Better!. GlobalCastMD Medical Library. 2023-10-28. https://library.globalcastmd.com/article/8317?via_space=dr-steve-rothenberg

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