末吉 亮
Department School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine Position Assistant Professor |
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Article types | Original article |
Language | English |
Peer review | Peer reviewed |
Title | Surgical intervention for congenital pulmonary airway malformation (CPAM) patients with preoperative pneumonia and abscess formation: "open versus thoracoscopic lobectomy". |
Journal | Formal name:Pediatric surgery international Abbreviation:Pediatr Surg Int ISSN code:14379813/01790358 |
Domestic / Foregin | Foregin |
Volume, Issue, Page | 32(4),pp.347-351 |
Author and coauthor | Sueyoshi Ryo†, Koga Hiroyuki, Suzuki Kenji, Miyano Go, Okawada Manabu, Doi Takashi, Lane Geoffrey J, Yamataka Atsuyuki |
Authorship | Lead author |
Publication date | 2016/04 |
Summary | AIM:Thoracoscopic lobectomy (TL) and open lobectomy (OL) were compared for treating congenital pulmonary airway malformation (CPAM) with preoperative complications, specifically pneumonia/abscess formation (PA).METHODS:The medical records of 46 CPAM patients treated by lobectomy at our institution from 1990 to 2014 were reviewed retrospectively. Four groups, TL for patients without PA (n = 17; TL-), TL for patients with PA (n = 8; TL+), OL for patients without PA (n = 16; OL-), and OL for patients with PA (n = 5; OL+) were compared for operative time, intra/postoperative complications, blood loss, duration of chest tube insertion, postoperative analgesia, pre: postoperative white blood cell (WBC) ratio, and duration of hospitalization.RESULTS:Operative time for TL+ was longest, but not statistically significant. Incidences of intra/postoperative complications were similar in all groups. Blood loss was significantly less for TL+ versus OL+ (p < .05). WBC ratio was significantly lower in TL+ versus OL+ (p < .05), similar for TL+ and TL-, and significantly higher in OL+ versus OL- (p < .01). Chest tube insertion was significantly longer in OL- versus TL- (p < .01).CONCLUSION:PA would not appear to be a contraindication to perform TL in CPAM. TL is associated with less surgical stress than OL despite longer operative time. |
DOI | 10.1007/s00383-015-3848-z |
PMID | 26661941 |