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Article: Thoracoscopic repair of congenital diaphragmatic hernia: two centres’ experience with 60 patients
Title | Thoracoscopic repair of congenital diaphragmatic hernia: two centres’ experience with 60 patients |
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Authors | |
Keywords | Infants Minimal invasive surgery Thoracoscopy Congenital diaphragmatic hernia |
Issue Date | 2014 |
Citation | Pediatric Surgery International, 2014, v. 31, n. 2, p. 191-195 How to Cite? |
Abstract | © 2014, Springer-Verlag Berlin Heidelberg. Methods: All patients who underwent thoracoscopic repair of congenital diaphragmatic hernia between 2010 and 2013 at the two tertiary referral centres were identified. Medical records were retrospectively reviewed. Data including patients’ demographics, peri-operative outcomes, length of hospitalisation and post-operative complications were extracted and analysed. Introduction: Congenital diaphragmatic hernia is a potentially life-threatening neonatal condition which required surgical intervention. With the advances in endosurgical instruments and techniques, thoracoscopic approach is gaining popularity as a standard procedure in the treatment of this condition. In this study, we reviewed our two centres’ experience with thoracoscopic repair of congenital diaphragmatic hernia in recent years. Conclusion: Thoracoscopic repair of congenital diaphragmatic hernia can be performed safely in specialised centres. The post-operative recovery and cosmesis are excellent. Diaphragmatic hernia with large defect remains a challenge for surgeons. Results: 60 patients were identified over the study period, with 46 males and 14 females. 48 patients received operation within the first 7 days of life. There were seven patients with delayed presentation and were operated after 1 month old. The average body weight was 3.03 kg. Left-sided hernia was more prevalent (n = 50). The mean operative time was 88.5 min (range 31–194 min). No conversion to open thoracotomy or laparotomy was required in any of the patients. All patients except one were intubated and paralysed in neonatal intensive care units for at least 3 days after operation. Average hospital stay was 14.6 days. There was no mortality in this series. There were five recurrences, one being the patient without post-operative paralysis, and the others with deficient posterior muscle rim. No musculoskeletal deformity was noted on follow-up examination. |
Persistent Identifier | http://hdl.handle.net/10722/220763 |
ISSN | 2023 Impact Factor: 1.5 2023 SCImago Journal Rankings: 0.548 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Huang, J. S. | - |
dc.contributor.author | Lau, C. T. | - |
dc.contributor.author | Wong, W. Y. | - |
dc.contributor.author | Tao, Q. | - |
dc.contributor.author | Wong, Kenneth K Y | - |
dc.contributor.author | Tam, P. K H | - |
dc.date.accessioned | 2015-10-16T06:50:28Z | - |
dc.date.available | 2015-10-16T06:50:28Z | - |
dc.date.issued | 2014 | - |
dc.identifier.citation | Pediatric Surgery International, 2014, v. 31, n. 2, p. 191-195 | - |
dc.identifier.issn | 0179-0358 | - |
dc.identifier.uri | http://hdl.handle.net/10722/220763 | - |
dc.description.abstract | © 2014, Springer-Verlag Berlin Heidelberg. Methods: All patients who underwent thoracoscopic repair of congenital diaphragmatic hernia between 2010 and 2013 at the two tertiary referral centres were identified. Medical records were retrospectively reviewed. Data including patients’ demographics, peri-operative outcomes, length of hospitalisation and post-operative complications were extracted and analysed. Introduction: Congenital diaphragmatic hernia is a potentially life-threatening neonatal condition which required surgical intervention. With the advances in endosurgical instruments and techniques, thoracoscopic approach is gaining popularity as a standard procedure in the treatment of this condition. In this study, we reviewed our two centres’ experience with thoracoscopic repair of congenital diaphragmatic hernia in recent years. Conclusion: Thoracoscopic repair of congenital diaphragmatic hernia can be performed safely in specialised centres. The post-operative recovery and cosmesis are excellent. Diaphragmatic hernia with large defect remains a challenge for surgeons. Results: 60 patients were identified over the study period, with 46 males and 14 females. 48 patients received operation within the first 7 days of life. There were seven patients with delayed presentation and were operated after 1 month old. The average body weight was 3.03 kg. Left-sided hernia was more prevalent (n = 50). The mean operative time was 88.5 min (range 31–194 min). No conversion to open thoracotomy or laparotomy was required in any of the patients. All patients except one were intubated and paralysed in neonatal intensive care units for at least 3 days after operation. Average hospital stay was 14.6 days. There was no mortality in this series. There were five recurrences, one being the patient without post-operative paralysis, and the others with deficient posterior muscle rim. No musculoskeletal deformity was noted on follow-up examination. | - |
dc.language | eng | - |
dc.relation.ispartof | Pediatric Surgery International | - |
dc.rights | The final publication is available at Springer via http://dx.doi.org/10.1007/s00383-014-3645-0 | - |
dc.subject | Infants | - |
dc.subject | Minimal invasive surgery | - |
dc.subject | Thoracoscopy | - |
dc.subject | Congenital diaphragmatic hernia | - |
dc.title | Thoracoscopic repair of congenital diaphragmatic hernia: two centres’ experience with 60 patients | - |
dc.type | Article | - |
dc.description.nature | postprint | - |
dc.identifier.doi | 10.1007/s00383-014-3645-0 | - |
dc.identifier.pmid | 25430524 | - |
dc.identifier.scopus | eid_2-s2.0-84922104731 | - |
dc.identifier.hkuros | 242448 | - |
dc.identifier.volume | 31 | - |
dc.identifier.issue | 2 | - |
dc.identifier.spage | 191 | - |
dc.identifier.epage | 195 | - |
dc.identifier.eissn | 1437-9813 | - |
dc.identifier.isi | WOS:000348445500013 | - |
dc.identifier.issnl | 0179-0358 | - |