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Surgery in congenital lung malformations: the evolution from thoracotomy to VATS, 10-year experience in a single center        
Yazarlar
Kenan Can Ceylan
 Güntuğ BATIHAN Güntuğ BATIHAN
Türkiye
Ahmet Üçvet
Soner Gürsoy
Özet
Background: Congenital lung malformation is an umbrella term and consist of various kind of parenchymal and mediastinal pathologies. Surgical resection is often required for diagnosis and curative treatment. We aimed to review our experience in surgical treatment for congenital lung disease and present the role of minimally invasive surgery. Methods: Surgical resections performed for benign lesions of the lung and mediastinum between January 2009 and May 2019 were retrospectively analyzed. Patients who were found to have congenital lung malformation as a result of pathological examination were included in our study. Distribution characteristics of the patients according to congenital lung malformation subtypes, differences in surgical approach and postoperative results were investigated. Results: A total of 94 patients who underwent surgical resection and were diagnosed with the bronchogenic cyst, sequestration, bronchial atresia, congenital cystic adenomatoid malformation (CCAM), or enteric cyst as a result of pathological examination were included the study. There were no significant differences between pathological subtypes in the postoperative length of hospital stay and drainage duration however, perioperative complication rate was higher in the sequestration group. In addition, in the first three days postoperatively, the mean pain score was found to be lower in the VATS group compared to thoracotomy. Conclusions: Congenital lung malformations consist of a heterogeneous group of diseases and the surgical treatment in these patients can range from a simple cyst excision to pneumonectomy. Video-assisted thoracoscopic surgery should be considered as the first choice in the surgical treatment of these patients in experienced centers.
Anahtar Kelimeler
Congenital lung malformation | Minimally invasive surgery | VATS | Large tumors | lung cancer | thoracotomy | video-assisted thoracoscopic surgery
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı JOURNAL OF CARDIOTHORACIC SURGERY
Dergi ISSN 1749-8090
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q3
Makale Dili İngilizce
Basım Tarihi 05-2021
Cilt No 16
Sayı 1
Sayfalar 1 / 11
Doi Numarası 10.1186/s13019-021-01511-0
Makale Linki http://dx.doi.org/10.1186/s13019-021-01511-0