초록접수 현황
| 17F-019 | English competition forum |
Pulmonary Segmentectomy in Children: An Analysis of the Surgical Outcomes of 44 Cases
Yoonjin Kang, Kwan Yong Hyun, Samina Park, Hyun-Ju Lee, In kyu Park, Young Tae Kim, Chang Hyun Kang
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea
Purpose : Pulmonary segmentectomy enables parenchymal preservation while allowing complete resection of lesions in selected patients. However, neither the efficacy nor the safety of pulmonary segmentectomy in children has been confirmed. We report our experience with segmentectomy to treat pulmonary diseases in children from 2000 to 2017 and evaluate the efficacy and safety of the approach.
Methods : We retrospectively reviewed the surgical outcomes and follow-up data of 44 consecutive children who underwent segmentectomy via thoracoscopy or thoracotomy.
Results : Thirty-six children underwent segmentectomy under thoracoscopic guidance. Eight patients underwent segmentectomy to avoid bilobectomy or pneumonectomy (i.e., segmentectomy in conjunction with lobectomy); the remainder underwent segmentectomy to treat small lesions. Both the mean surgical time and the duration of postoperative hospitalization tended to be shorter when thoracoscopy rather than thoracotomy was performed (84 vs. 161 min and 4.2 vs. 7.6 days, respectively). No perioperative mortality was noted. Complications developed in three patients, including prolonged air leakage (for > 5 days) in three patients and pneumonia in one. Three of these complications were associated with multiple segmentectomy, or segmentectomy in conjunction with lobectomy. The mean follow-up time was 21 months and all children exhibited good performance status. To date, no patient has required re-resection to treat residual disease.
Conclusion : We suggest that pulmonary segmentectomy is safe and effective when used to treat lung lesions in children, especially when the thoracoscopic approach is chosen. This approach can be used to treat both small isolated lesions and multiple lesions involving more than one lobe.
Methods : We retrospectively reviewed the surgical outcomes and follow-up data of 44 consecutive children who underwent segmentectomy via thoracoscopy or thoracotomy.
Results : Thirty-six children underwent segmentectomy under thoracoscopic guidance. Eight patients underwent segmentectomy to avoid bilobectomy or pneumonectomy (i.e., segmentectomy in conjunction with lobectomy); the remainder underwent segmentectomy to treat small lesions. Both the mean surgical time and the duration of postoperative hospitalization tended to be shorter when thoracoscopy rather than thoracotomy was performed (84 vs. 161 min and 4.2 vs. 7.6 days, respectively). No perioperative mortality was noted. Complications developed in three patients, including prolonged air leakage (for > 5 days) in three patients and pneumonia in one. Three of these complications were associated with multiple segmentectomy, or segmentectomy in conjunction with lobectomy. The mean follow-up time was 21 months and all children exhibited good performance status. To date, no patient has required re-resection to treat residual disease.
Conclusion : We suggest that pulmonary segmentectomy is safe and effective when used to treat lung lesions in children, especially when the thoracoscopic approach is chosen. This approach can be used to treat both small isolated lesions and multiple lesions involving more than one lobe.
책임저자: Chang Hyun Kang
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea
발표자: Yoonjin Kang, E-mail : yoonjin.r.kang@gmail.com