Thoracoscopic Lobectomy for Congenital Pulmonary Airway Malformation with Prenatal Diagnosis
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , , |
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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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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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 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://ojs.pjp.spp.pt/article/view/20046 |
url |
https://ojs.pjp.spp.pt/article/view/20046 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2184-4453 2184-3333 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Pediatria |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Pediatria |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799133524840677376 |