Thoracoscopic Lobectomy for Congenital Pulmonary Airway Malformation: Where Are We in 2019?
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Read the article on dx.doi.org ↗Article · Mar 2020 · 1 min read
In brief
In brief
Review of current thoracoscopic approaches to congenital pulmonary airway malformation management, examining surgical indications, technique selection, and long-term follow-up protocols. Emphasizes multidisciplinary care given 10-15% risk of chronic lung disease, and advocates for minimally invasive techniques when feasible despite limited pulmonary function data.
Written by the GCMD Library team from the article.
Thoracoscopic surgery for congenital pulmonary airway malformation (CPAM) is still a matter of debate and used by approximately 50% of the surgeons in Europe. Several questions need to be addressed about CPAM. The adequate treatment, the surgical approach, and the follow-up are few of them. A review of recent articles published in the literature over the past 5 years is done in trying to respond to these questions. A multidisciplinary team is required to follow these patients since approximately 10 to 15% will develop a chronic lung disease and asthma. In the case of conservative management, computed tomography scan should be perform to monitor the evolution of the CPAM. Minimally invasive surgery should be used whenever possible, although the advantages of pulmonary function tests are not clearly defined, allowing a postoperative fast-track management.