Thoracoscopic Vs open resection of congenital cystic lung disease- utilization and outcomes in 1120 children in the United States

Journal of Pediatric Surgery
Stephanie F PolitesDonald D Potter

Abstract

To determine if utilization of thoracoscopic resection of congenital cystic lung disease (CLD) is increasing and if this approach is associated with improved outcomes using a large national sample. Children ≤20years old who underwent resection of a congenital cystic adenomatoid malformation, bronchopulmonary sequestration, or bronchogenic cyst were identified from the Healthcare Cost and Utilization Project Kids' Inpatient Database (2009, 2012) and Nationwide Inpatient Sample (2008, 2010-2011). Patient characteristics and outcomes were compared between thoracoscopic and open approaches using univariate and multivariable analyses stratified by magnitude of resection. Thoracoscopic resection was used in 39.4% of 1120 children who underwent resection of CLD. Utilization of the thoracoscopic approach increased from 32.2% in 2008 to 48.2% in 2012. Use of thoracoscopy was lower in lobectomy than segmental resection (32.5 vs 48.4%, p<.001). Newborns, those with comorbid congenital conditions, and those with respiratory infections also had lower rates of thoracoscopy. After stratifying by magnitude of resection and adjusting for patient complexity, complication rates and postoperative length of stay were similar between thoracoscopic a...Continue Reading

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Citations

Oct 20, 2017·European Journal of Pediatrics·Claire LeblancSabine Irtan
Jan 4, 2017·Pediatric Surgery International·Atsuyuki YamatakaKenji Suzuki
Jul 3, 2019·Medicine·Kaisheng ChengMin Liu
Oct 8, 2020·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Rim KiblawiNagoud Schukfeh
Dec 31, 2020·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Pierre Alexandre FerreroQuentin Ballouhey
Jan 11, 2021·Pediatric Surgery International·Mark A FlemingDaniel E Levin
Dec 29, 2020·Journal of the American College of Surgeons·Rachael A ClarkSamir R Pandya
May 26, 2021·Journal of Pediatric Surgery·Jennine H WellerUNKNOWN Midwest Pediatric Surgery Consortium

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