Primary Study of Video-assisted Thoracoscopic Surgery Without Chest Tube Drainage for Infants With Congenital Pulmonary Airway Malformation
10.3969/j.issn.1009-6604.2025.02.001
- VernacularTitle:胸腔镜手术治疗婴幼儿先天性肺气道畸形术后免胸管留置的初步研究
- Author:
Xiao LI
1
;
Chun CAI
1
;
Bin ZHOU
1
;
Lei LOU
1
;
Linghui SHEN
1
;
Gang ZHANG
1
;
Xiaotong ZHOU
1
;
Gang YU
1
Author Information
1. 广州医科大学附属第三医院小儿外科 广东省产科重大疾病重点实验室 广东省妇产疾病临床医学研究中心,广州 510150
- Publication Type:Journal Article
- Keywords:
Video-assisted thoracoscopic surgery;
Congenital pulmonary airway malformation;
Chest tube;
Chest drainage
- From:
Chinese Journal of Minimally Invasive Surgery
2025;25(2):65-69
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the technical feasibility and safety of video-assisted thoracoscopic surgery(VATS)without chest tube placement for infants with congenital pulmonary airway malformation(CPAM).Methods Clinical data of 145 infants with CPAM treated by VATS from May 2019 to August 2022 were retrospectively analyzed.Six cases had a chest tube placement at the end of the surgery,while 139 cases did not.Among them,there were 99 segmental lobectomies,36 lobectomies,and 4 lobectomies and segmental lobectomies.Clinical efficacy and postoperative complications were observed.Results All the 145 patients underwent resection by VATS without conversion to thoracotomy.There was no mortality during the perioperative period.In the 139 cases without chest tube placement at the end of surgery,the operation time was(42.0±16.6)min,and the intraoperative blood loss was(2.7±2.0)ml.The were 6 cases who were given indwelling drainage tube for pneumothorax or pleural effusion after surgery,the rate of re-catheterization being 4.3％.The remaining 133 cases had chest X-ray review on the third day after routine surgery.Among them,8 cases had mild pneumothorax(lung compression＜20％)on the surgical side,which did not require further treatment.Before discharge,chest X-ray re-examination showed that pneumothorax was basically absorbed.All the patients were discharged with uneventful recovery,and the hospital stay was(6.6±1.3)d.Conclusion VATS without chest tube placement is a safe and feasible surgical procedure for some selective infants with congenital pulmonary airway malformation.
