Pediatric Thoracoscopic Lung Resections: A Comprehensive Analysis of Congenital Lesion Cases

Abstract

Abstract Background: Congenital lung lesions in pediatric patients may be managed conservatively or by video assisted thoracoscopic surgery (VATS). This study aimed to determine the complications after VATS for congenital lung lesions in children. Methods: All children undergoing a lung resection between January 2009 and June 2012 were retrospectively identified. Children undergoing a primary open lobectomy or a resection other than a congenital lung lesion were excluded. Both early (<30 days) and late postoperative pulmonary complications were determined. The primary endpoint was postoperative complications within 30 days. Results: In total, 10 patients were included, with a median age of 15 months (IQR 11-65). A VATS lobectomy were performed in 6 patients (60%), an extralobar sequestration in 1 patient (10%), an wedge resection in 3 patient.. A conversion to open did not occurred. The median follow-up was 32 months (IQR 3-80) and all patients were alive. A postoperative complication (Clavien Dindo ≥3) occurred in 1 patients and complications without the need of intervention in 1 patients. Conclusion: This study constitutes a retrospective case description involving the initial 10 patients who underwent video-assisted thoracoscopic surgery (VATS) resection.