Thoracoscopic Lobectomy for Congenital Pulmonary Airway Malformation with Prenatal Diagnosis

Detalhes bibliográficos
Autor(a) principal: Barroso, Catarina
Data de Publicação: 2021
Outros Autores: Felizes, Andreia, Silva, Ana Raquel, Braga, Inês, Gonçalves, Marta, Salgado, Helena, Gonçalves, Augusta, Cadilhe, Alexandra, Pereira, Almerinda, Santos, Maria João, Correia-Pinto, Jorge
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://ojs.pjp.spp.pt/article/view/20046
Resumo: INTRODUCTION: Congenital pulmonary airway malformations (CPAM) are increasingly diagnosed in the prenatal period raising concerns on the post-natal management of asymptomatic cases. Favoring early resection are the concepts of better compensatory lung growth, and prevention of long-term risk of infection and malignancy. Our aim was to review the results of our conduct over the years, in which we promote early thoracoscopic resection. METHODS: We have analyzed the series of patients with congenital pulmonary malformations submitted to thoracoscopic resection at our department, focusing on the infants with prenatal diagnosis of CPAM. RESULTS: From March 2012 to March 2020, we have performed 24 thoracoscopic pulmonary resections at our department for CPAM, congenital lobar emphysema, pulmonary sequestration, bronchogenic cyst and pleuropulmonary blastoma. Among these, nineteen performed thoracoscopic pulmonary lobectomy, including 14 children with prenatal diagnosis of CPAM that were operated during infancy. In our series of thoracoscopic pulmonary lobectomy, we did not have any perioperative complication. Regarding post-operative complications, we have to report two cases treated conservatively, but none in the subgroup of CPAM with prenatal diagnosis. Median length of stay was three days. In the entire series two patients report recurrent wheezing, whilst in the prenatal diagnosed CPAM subgroup all patients have a completely uneventful follow-up. CONCLUSION: Early thoracoscopic resection of prenatal diagnosed CPAM is safe and should be considered in cases with significant lung (morphological) malformation as the esthetic and clinical outcomes are excellent.
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spelling Thoracoscopic Lobectomy for Congenital Pulmonary Airway Malformation with Prenatal DiagnosisOriginal articlesINTRODUCTION: Congenital pulmonary airway malformations (CPAM) are increasingly diagnosed in the prenatal period raising concerns on the post-natal management of asymptomatic cases. Favoring early resection are the concepts of better compensatory lung growth, and prevention of long-term risk of infection and malignancy. Our aim was to review the results of our conduct over the years, in which we promote early thoracoscopic resection. METHODS: We have analyzed the series of patients with congenital pulmonary malformations submitted to thoracoscopic resection at our department, focusing on the infants with prenatal diagnosis of CPAM. RESULTS: From March 2012 to March 2020, we have performed 24 thoracoscopic pulmonary resections at our department for CPAM, congenital lobar emphysema, pulmonary sequestration, bronchogenic cyst and pleuropulmonary blastoma. Among these, nineteen performed thoracoscopic pulmonary lobectomy, including 14 children with prenatal diagnosis of CPAM that were operated during infancy. In our series of thoracoscopic pulmonary lobectomy, we did not have any perioperative complication. Regarding post-operative complications, we have to report two cases treated conservatively, but none in the subgroup of CPAM with prenatal diagnosis. Median length of stay was three days. In the entire series two patients report recurrent wheezing, whilst in the prenatal diagnosed CPAM subgroup all patients have a completely uneventful follow-up. CONCLUSION: Early thoracoscopic resection of prenatal diagnosed CPAM is safe and should be considered in cases with significant lung (morphological) malformation as the esthetic and clinical outcomes are excellent.Sociedade Portuguesa de Pediatria2021-02-26info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://ojs.pjp.spp.pt/article/view/20046eng2184-44532184-3333Barroso, CatarinaFelizes, AndreiaSilva, Ana RaquelBraga, InêsGonçalves, MartaSalgado, HelenaGonçalves, AugustaCadilhe, AlexandraPereira, AlmerindaSantos, Maria JoãoCorreia-Pinto, Jorgeinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-08-03T02:58:09Zoai:ojs.revistas.rcaap.pt:article/20046Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:25:34.914730Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Thoracoscopic Lobectomy for Congenital Pulmonary Airway Malformation with Prenatal Diagnosis
title Thoracoscopic Lobectomy for Congenital Pulmonary Airway Malformation with Prenatal Diagnosis
spellingShingle Thoracoscopic Lobectomy for Congenital Pulmonary Airway Malformation with Prenatal Diagnosis
Barroso, Catarina
Original articles
title_short Thoracoscopic Lobectomy for Congenital Pulmonary Airway Malformation with Prenatal Diagnosis
title_full Thoracoscopic Lobectomy for Congenital Pulmonary Airway Malformation with Prenatal Diagnosis
title_fullStr Thoracoscopic Lobectomy for Congenital Pulmonary Airway Malformation with Prenatal Diagnosis
title_full_unstemmed Thoracoscopic Lobectomy for Congenital Pulmonary Airway Malformation with Prenatal Diagnosis
title_sort Thoracoscopic Lobectomy for Congenital Pulmonary Airway Malformation with Prenatal Diagnosis
author Barroso, Catarina
author_facet Barroso, Catarina
Felizes, Andreia
Silva, Ana Raquel
Braga, Inês
Gonçalves, Marta
Salgado, Helena
Gonçalves, Augusta
Cadilhe, Alexandra
Pereira, Almerinda
Santos, Maria João
Correia-Pinto, Jorge
author_role author
author2 Felizes, Andreia
Silva, Ana Raquel
Braga, Inês
Gonçalves, Marta
Salgado, Helena
Gonçalves, Augusta
Cadilhe, Alexandra
Pereira, Almerinda
Santos, Maria João
Correia-Pinto, Jorge
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Barroso, Catarina
Felizes, Andreia
Silva, Ana Raquel
Braga, Inês
Gonçalves, Marta
Salgado, Helena
Gonçalves, Augusta
Cadilhe, Alexandra
Pereira, Almerinda
Santos, Maria João
Correia-Pinto, Jorge
dc.subject.por.fl_str_mv Original articles
topic Original articles
description INTRODUCTION: Congenital pulmonary airway malformations (CPAM) are increasingly diagnosed in the prenatal period raising concerns on the post-natal management of asymptomatic cases. Favoring early resection are the concepts of better compensatory lung growth, and prevention of long-term risk of infection and malignancy. Our aim was to review the results of our conduct over the years, in which we promote early thoracoscopic resection. METHODS: We have analyzed the series of patients with congenital pulmonary malformations submitted to thoracoscopic resection at our department, focusing on the infants with prenatal diagnosis of CPAM. RESULTS: From March 2012 to March 2020, we have performed 24 thoracoscopic pulmonary resections at our department for CPAM, congenital lobar emphysema, pulmonary sequestration, bronchogenic cyst and pleuropulmonary blastoma. Among these, nineteen performed thoracoscopic pulmonary lobectomy, including 14 children with prenatal diagnosis of CPAM that were operated during infancy. In our series of thoracoscopic pulmonary lobectomy, we did not have any perioperative complication. Regarding post-operative complications, we have to report two cases treated conservatively, but none in the subgroup of CPAM with prenatal diagnosis. Median length of stay was three days. In the entire series two patients report recurrent wheezing, whilst in the prenatal diagnosed CPAM subgroup all patients have a completely uneventful follow-up. CONCLUSION: Early thoracoscopic resection of prenatal diagnosed CPAM is safe and should be considered in cases with significant lung (morphological) malformation as the esthetic and clinical outcomes are excellent.
publishDate 2021
dc.date.none.fl_str_mv 2021-02-26
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dc.language.iso.fl_str_mv eng
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