초록접수 현황
| 17F-197 | 구연 발표 |
Outcomes of Lung Resection in Neonates with Symptomatic Congenital Lung Anomalies
Byung Kwon Chong, Min-Kyun Kang, Han Pil Lee, Jin San Boka, Geun Dong Leea, Se Hoon Choi, Hyeong Ryul Kim, Yong-Hee Kim, Seung Il Park, Dong Kwan Kim
Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, Ulsan University College of Medicine, Seoul, Republic of Korea
Purpose : Optimal time of surgery is controversial in young patients with congenital lung malformations, especially in neonates with symptoms. Emergency operation in neonate is regarded as challenging with high morbidity and mortality
Methods : From Jan, 1999 to Jul, 2017 35 neonates with symptomatic congenital lung anomalies underwent lung resection. All patients were symptomatic and operation was performed in emergency presentation
Results : Nineteen patients were female (54%) while 16 (46%) were male. The median age of patients was 7 days (4-12 days). Among 35 patients, 29 were congenital cystic adenomatoid malformation and 6 were extralobar pulmonary sequestration. There were 28 cases of lobectomy, 4 wedge resection, 2 bilobectomy and 1 segmentectomy. All patients had been intensive care unit and 13 neonates required ventilator support pre-operatively. Median time of postoperative ventilator support was 2 days (1-4 days). Chest tube was kept for 5 days (3-8 days). Median intensive care unit stay was 11 days (8 to 23 days) and total hospital day was 21 days (15-29 days). There were two cases of wound problem which required delayed closure. There was one mortality due to unpredicted hypoplastic anomaly of remnant lung. There was no late mortality during the follow up (median 64, range 42-104 months). All patients have been asymptomatic without complications.
Conclusion : Lung resection surgery is a feasible and safe option in neonates with symptomatic congenital lung anomalies. Thus surgical intervention should not be hesitated in congenital anomaly neonates with symptoms
Methods : From Jan, 1999 to Jul, 2017 35 neonates with symptomatic congenital lung anomalies underwent lung resection. All patients were symptomatic and operation was performed in emergency presentation
Results : Nineteen patients were female (54%) while 16 (46%) were male. The median age of patients was 7 days (4-12 days). Among 35 patients, 29 were congenital cystic adenomatoid malformation and 6 were extralobar pulmonary sequestration. There were 28 cases of lobectomy, 4 wedge resection, 2 bilobectomy and 1 segmentectomy. All patients had been intensive care unit and 13 neonates required ventilator support pre-operatively. Median time of postoperative ventilator support was 2 days (1-4 days). Chest tube was kept for 5 days (3-8 days). Median intensive care unit stay was 11 days (8 to 23 days) and total hospital day was 21 days (15-29 days). There were two cases of wound problem which required delayed closure. There was one mortality due to unpredicted hypoplastic anomaly of remnant lung. There was no late mortality during the follow up (median 64, range 42-104 months). All patients have been asymptomatic without complications.
Conclusion : Lung resection surgery is a feasible and safe option in neonates with symptomatic congenital lung anomalies. Thus surgical intervention should not be hesitated in congenital anomaly neonates with symptoms
책임저자: Dong Kwan Kim
Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, Ulsan University College of Medicine, Seoul, Republic of Korea
발표자: Byung Kwon Chong, E-mail : pogri@naver.com