Video-assisted thoracoscopic surgical excision of cystic lung disease in children

摘要: Abstract Purpose Video-assisted thoracoscopic surgical (VATS) technique for resection of cystic lung disease (CLD) may offer some advantages when compared with thoracotomy in children. Methods From September 1999 to August 2004, 6 pediatric patients underwent VATS CLD. Patients were chosen based upon surgeon's choice. Data are expressed as mean ± SD. The Children's Healthcare Atlanta institutional review board approved this study. Results types lesions included congenital adenomatoid malformations (n = 1), extrapulmonary sequestrations 3), lobar emphysema and bronchogenic cyst 1). extent lobectomy 2) excision 4). Age weight 11.8 18 months (range days 4 years) 7.5 3.6 4.0-14.0) kg, respectively. Operating time was 103 70 38-223) minutes. Chest tube duration 1.2 0.8 0-2) days. Morphine use on the first postoperative day 0.2 0.3(range 0.05-0.20) mg/kg. Length stay 2.5 1.9 1-6) There no conversions complications. Conclusion appears be a safe effective managing CLD children all ages. More patients, however, need studied.