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Thoracoscopy in pediatrics: Surgical perspectives

Thoracoscopic surgery and other minimally invasive approaches in children achieved marked advancement and expanded to include several disciplines in the last decade. The new armamentarium of the minimally invasive surgery including the smaller instruments and better magnification led to the applicat...

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Autor principal: Bawazir, Osama A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6784445/
https://www.ncbi.nlm.nih.gov/pubmed/31620207
http://dx.doi.org/10.4103/atm.ATM_114_19
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author Bawazir, Osama A
author_facet Bawazir, Osama A
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description Thoracoscopic surgery and other minimally invasive approaches in children achieved marked advancement and expanded to include several disciplines in the last decade. The new armamentarium of the minimally invasive surgery including the smaller instruments and better magnification led to the application of this technology in the small infants and neonates. Currently, thoracoscopy is considered the preferred surgical approach for various conditions in neonates and infants over the standard thoracotomy, and thoracoscopic training is included in the surgical training curriculum for the residents in many institutes worldwide. Children are different from adults, and technique modifications are required when using thoracoscopy in children. Thoracoscopy showed satisfactory results in several operations including pulmonary resections, mediastinal tumors biopsies or resections, repair of the diaphragmatic hernias, decortication, and tracheoesophageal fistula. This review aims to address the unique aspects of thoracoscopic surgery in children, identify its potential technical and anatomical challenges, and the proposed solutions. A literature search for latest and relevant publications was done using the keywords (thoracoscopy; pediatric; lung biopsy; decortication; lobectomy; mediastinum; esophagus; and diaphragmatic hernia).
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spelling pubmed-67844452019-10-16 Thoracoscopy in pediatrics: Surgical perspectives Bawazir, Osama A Ann Thorac Med Review Article Thoracoscopic surgery and other minimally invasive approaches in children achieved marked advancement and expanded to include several disciplines in the last decade. The new armamentarium of the minimally invasive surgery including the smaller instruments and better magnification led to the application of this technology in the small infants and neonates. Currently, thoracoscopy is considered the preferred surgical approach for various conditions in neonates and infants over the standard thoracotomy, and thoracoscopic training is included in the surgical training curriculum for the residents in many institutes worldwide. Children are different from adults, and technique modifications are required when using thoracoscopy in children. Thoracoscopy showed satisfactory results in several operations including pulmonary resections, mediastinal tumors biopsies or resections, repair of the diaphragmatic hernias, decortication, and tracheoesophageal fistula. This review aims to address the unique aspects of thoracoscopic surgery in children, identify its potential technical and anatomical challenges, and the proposed solutions. A literature search for latest and relevant publications was done using the keywords (thoracoscopy; pediatric; lung biopsy; decortication; lobectomy; mediastinum; esophagus; and diaphragmatic hernia). Wolters Kluwer - Medknow 2019 /pmc/articles/PMC6784445/ /pubmed/31620207 http://dx.doi.org/10.4103/atm.ATM_114_19 Text en Copyright: © 2019 Annals of Thoracic Medicine http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Review Article
Bawazir, Osama A
Thoracoscopy in pediatrics: Surgical perspectives
title Thoracoscopy in pediatrics: Surgical perspectives
title_full Thoracoscopy in pediatrics: Surgical perspectives
title_fullStr Thoracoscopy in pediatrics: Surgical perspectives
title_full_unstemmed Thoracoscopy in pediatrics: Surgical perspectives
title_short Thoracoscopy in pediatrics: Surgical perspectives
title_sort thoracoscopy in pediatrics: surgical perspectives
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6784445/
https://www.ncbi.nlm.nih.gov/pubmed/31620207
http://dx.doi.org/10.4103/atm.ATM_114_19
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