Video-assisted thoracoscopic surgery for right middle lobectomy in children

This case‐control study was designed to evaluate the potential advantages and disadvantages of video‐assisted thoracoscopic surgery for right middle lobectomy in children. Ten children (6.1±3.0 yr, mean±SD) who underwent right middle lobectomy under videoscopy were compared with 10 controls matched...

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Bibliographic Details
Published in:	Pediatric anesthesia Vol. 7; no. 3; pp. 215 - 220
Main Authors:	GOMOLA, ALEXANDRA, GALL, OLIVIER, LE LARROQUET, MICHE, CONSTANT, ISABELLE, BALQUET, PATRICK, MURAT, ISABELLE
Format:	Journal Article
Language:	English
Published:	Oxford, UK Blackwell Science Ltd 01-05-1997
Subjects:	lobectomy postoperative pain videosurgery thoracic surgery lobectomy thoracic surgery postoperative pain videosurgery
Online Access:	Get full text
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Summary:	This case‐control study was designed to evaluate the potential advantages and disadvantages of video‐assisted thoracoscopic surgery for right middle lobectomy in children. Ten children (6.1±3.0 yr, mean±SD) who underwent right middle lobectomy under videoscopy were compared with 10 controls matched for age (6.8±3.5 yr) and operated by thoracotomy (muscle‐sparing technique) during the same period by the same surgeon. Operating time was significantly longer in the videoscopy group than in the thoracotomy group (146±28 mn vs 100±27 mn, P<0.001). Minimum oxygen saturation values were significantly higher in the videoscopy group whereas oxygen requirements did not differ between groups. Incidence of postoperative respiratory complications (mainly atelectasis) was similar in the two groups. No difference in postoperative analgesic requirements in the postoperative period was demonstrated. No real benefit or disadvantage of videoscopy over standard thoracotomy could be observed in this retrospective case‐control study.
Bibliography:	ark:/67375/WNG-9V0CPNB8-0 istex:609A1B78ECFD944BE45F2383AE8C325A86277AAE ArticleID:PAN638 ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1155-5645 1460-9592
DOI:	10.1046/j.1460-9592.1997.d01-78.x