Singh Gurmeet, Rai Rahul Kumar, Pant Nitin, Wakhlu Ashish
Department of Pediatric Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.
J Laparoendosc Adv Surg Tech A. 2020 Jun;30(6):692-694. doi: 10.1089/lap.2019.0805. Epub 2020 Mar 5.
To present a case series of children with eventration of diaphragm who underwent thoracoscopic repair highlighting the technical points and surgical modifications to prevent a recurrence. This is an observational study of patients with diaphragmatic eventration admitted to a tertiary care institute. The study was designed following CARE guidelines endorsed by EQUATOR Network. Pediatric patients who had undergone thoracoscopic repair between January 2010 and March 2019 were included in the study. Age at surgery, gender, weight, site of the lesion, operating time, need for postoperative drain, and complications were assessed. Twenty-six patients had thoracoscopic repair of the eventration of diaphragm. The male-female ratio was 12:1 and mean weight at the time of surgery was 6.3 kg (2.2-22 kg) with most patients having left side congenital diaphragmatic eventration ( = 21) as compared with the right side ( = 5). The average operating time was 66 minutes (37-144 minutes). Diaphragm plication by a thoracoscopic approach is safe and feasible in neonates and pediatric patients.
本文报告一系列经胸腔镜修复膈肌膨出的儿童病例，重点介绍预防复发的技术要点和手术改良方法。这是一项对三级医疗机构收治的膈肌膨出患者进行的观察性研究。该研究遵循由EQUATOR网络认可的CARE指南设计。纳入2010年1月至2019年3月间接受胸腔镜修复的儿科患者。评估手术时年龄、性别、体重、病变部位、手术时间、术后引流需求及并发症情况。26例患者接受了胸腔镜下膈肌膨出修复术。男女比例为12:1，手术时平均体重为6.3千克（2.2 - 22千克），大多数患者为左侧先天性膈肌膨出（n = 21），右侧（n = 5）较少。平均手术时间为66分钟（37 - 144分钟）。胸腔镜下膈肌折叠术在新生儿和儿科患者中是安全可行的。
