Thoracoscopic division of vascular rings
| Autor: | Kevin M. Riggle, John H.T. Waldhausen, Samuel E. Rice-Townsend |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Patient demographics medicine.medical_treatment 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Thoracoscopy Medicine Humans Child Retrospective Studies medicine.diagnostic_test business.industry Infant Newborn Open thoracotomy Vascular ring Chylothorax Infant General Medicine Length of Stay medicine.disease Vascular Ring Surgery Chest tube Open group Treatment Outcome Thoracotomy 030220 oncology & carcinogenesis Child Preschool Pediatrics Perinatology and Child Health Operative time Female business Follow-Up Studies |
| Zdroj: | Journal of pediatric surgery. 52(7) |
| ISSN: | 1531-5037 |
| Popis: | Background/Purpose Vascular rings are traditionally treated via an open thoracotomy. In recent years the use of thoracoscopy has increased. Herein we report our experience with thoracoscopic division of vascular rings in pediatric patients. Methods We reviewed all patients who underwent thoracoscopic or open division of a vascular ring at our institution between 2007 and 2015. We analyzed patient demographics, presenting symptoms, diagnostic imaging modality, ring anatomy, operative details, complications, and symptom resolution. Results Thirty-one patients underwent thoracoscopic division of a vascular ring while sixteen had open operations. Median age was 24 months in the thoracoscopic group and 13 months in the open group. Operative time averaged 74 min (thoracoscopic) and 95 min (open). There were no mortalities at 30 days. There was complete symptom resolution in 71% of thoracoscopic patients and 63% of open. Patients in the thoracoscopic group had decreased ICU admissions (10% vs. 94%), chest tube use (62% vs. 100%), chylothorax (6% vs. 38%) and overall length of stay (1.7 days vs. 5 days). Conclusions Thoracoscopic division of vascular rings in pediatric patients is a feasible alternative to open division and is associated with comparable rates of symptom resolution and decreased length of hospital stay and chylothorax. Level of evidence III. |
| Databáze: | OpenAIRE |
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