Cargando…
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...
Autor principal: | |
---|---|
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 |
_version_ | 1783457760422133760 |
---|---|
author | Bawazir, Osama A |
author_facet | Bawazir, Osama A |
author_sort | Bawazir, Osama A |
collection | PubMed |
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). |
format | Online Article Text |
id | pubmed-6784445 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT bawazirosamaa thoracoscopyinpediatricssurgicalperspectives |