PMID: 3773545Nov 1, 1986Paper

Pulmonary resection in the prone position for suppurative lung disease in children

The Journal of Thoracic and Cardiovascular Surgery
A A ConlanH Levy

Abstract

Lung resection for suppurative inflammatory disease is hazardous in children whose small airway diameter precludes the use of standard methods of bronchial separation. A prospective evaluation of the prone position for thoracotomy in 17 children referred for operation with severe inflammatory disease was done. Bronchography showed whole lung bronchiectasis eight, destroyed lung in three, and lobar bronchiectasis five. Pulmonary resections performed with the child prone included left pneumonectomy (nine), right pneumonectomy (four), lingulectomy with lower lobectomy (two), and other lobectomy (two). No endobronchial or intrapleural spillage occurred. One child required reexploration for bleeding and one child developed a postoperative empyema that ultimately caused death. The remaining 16 children were discharged within 8 days of operation, and follow-up of 1 to 18 months records favorable progress.

Citations

Nov 18, 2000·The Annals of Thoracic Surgery·Y ShiraishiS Yoshida
Aug 21, 2003·The Journal of Thoracic and Cardiovascular Surgery·Sevval ErenAkin Eraslan Balci
Sep 24, 2008·Current Problems in Surgery·A Thomas Pezzella, Wentao Fang

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