Department of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Pediatr Surg Int. 2021 Feb;37(2):213-221. doi: 10.1007/s00383-020-04793-y. Epub 2021 Jan 1.
Although we generally perform thoracoscopic lobectomy for congenital lung cysts (CLCs), we recently began performing thoracoscopic-limited pulmonary resection (segmentectomy or small partial lung resection) on relatively small lesions and on lesions involving multiple lobes. Our study aimed to determine the therapeutic outcomes of thoracoscopic CLC surgery.
We retrospectively reviewed patients aged ≤ 18 years who underwent their first CLC surgery at our facility between 2013 and 2020.
A comparison between patients < 4 months old and those ≥ 4 months old showed no significant difference in operating time or incidence of complications. Blood loss volume (mL/kg) was significantly greater in patients < 4 months old and in patients who had undergone semi-urgent or urgent surgery. Operating time and postoperative complications were not increased in semi-urgent or urgent surgeries. There was no significant difference in operating time, blood loss volume, or postoperative complications between patients with a preoperative history of pneumonia and patients with no such history.
In most patients, thoracoscopic surgery for CLC was safely performed. Limited pulmonary resection is considered difficult to perform thoracoscopically in children, but can be safely performed using new devices and navigation methods.
III.
虽然我们通常对先天性肺囊肿（CLC）施行胸腔镜肺叶切除术，但最近我们开始对相对较小的病变和多叶病变施行胸腔镜局限性肺切除术（节段切除术或小部分肺切除术）。本研究旨在确定胸腔镜 CLC 手术的治疗效果。
我们回顾性分析了 2013 年至 2020 年期间在我院接受首次 CLC 手术的年龄≤18 岁的患者。
<4 个月和≥4 个月的患者之间的手术时间或并发症发生率无显著差异。<4 个月的患者和接受半紧急或紧急手术的患者的出血量（mL/kg）明显更高。半紧急或紧急手术不会增加手术时间和术后并发症。术前有肺炎病史和无肺炎病史的患者在手术时间、出血量或术后并发症方面无显著差异。
在大多数患者中，胸腔镜手术治疗 CLC 是安全的。在儿童中，局限性肺切除术被认为难以进行胸腔镜手术，但可以使用新的设备和导航方法安全地进行。
III 级。
