Abstract
Background/Purpose
The aim of this study is to compare the experience with video-assisted thoracoscopic
surgery (VATS) for patent ductus arteriosus (PDA) since 1995 with the results of conventional
open surgery from the preceding 10 years.
Methods
The records of 60 children who underwent standard posterolateral muscle splitting
thoracotomy and ligation of PDA in 1986-1995 were reviewed for the study. The data
on 50 children who underwent VATS PDA ligation since 1995 were collected prospectively.
Results
All patients survived. Ductal bleeding requiring sutures with patches occurred once
in the open surgery group. Two patients in the VATS group underwent immediate rethoracoscopy
and clipping because of residual ductal flow in the postoperative echocardiography.
Complications in the VATS group included 6 (12%) recurrent laryngeal nerve injuries
(3 transient) and 2 chylothoraces. One patient in each group underwent open reoperation
because of residual ductal flow 1 year after the initial operation. The operative
time, duration of recovery room/neonatal intensive care unit care, duration of pleural
drainage, and length of hospital stay were significantly shorter in the VATS group.
Conclusions
VATS PDA ligation gave results equal to traditional open surgery with a shorter operative
time, faster recovery, and shorter hospital stay. More complications, especially recurrent
laryngeal nerve injuries, occurred in the VATS group.
Index words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Pediatric SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- A new video-assisted thoracoscopic surgical technique for interruption of patient ductus arteriosus in infants and children.J Thorac Cardiovasc Surg. 1993; 105: 278-280
- Comparison of muscle-sparing thoracotomy and thoracoscopic ligation for the treatment of patent ductus arteriosus.J Pediatr Surg. 1998; 33: 259-261
- Video-assisted thoracoscopic closure of PDA—a case report and literature review.Ann Chir Gynaecol. 1996; 85: 272-275
- Video-assisted thoracoscopic surgery for the treatment of congenital cardiac defects in the pediatric population.Anesth Analg. 1996; 82: 563-567
- Video-assisted thoracoscopic ligation of patent ductus arteriosus: safe and outpatient.Ann Thorac Surg. 1998; 66: 853-858
- Video-assisted thoracoscopic surgery for congenital heart disease.J Thorac Cardiovasc Surg. 1995; 109: 499-507
- Video-assisted ductal ligation in premature infants.Ann Thorac Surg. 2003; 76: 1417-1420
- A video-assisted thoracoscopic surgical technique for interruption of patent ductus arteriosus.Surg Today. 1997; 27: 439-442
- Incidence of vocal fold paralysis in infants undergoing ligation of patent ductus arteriosus.Ann Thorac Surg. 1996; 61: 814-816
- Paralyzed left vocal cord associated with ligation of patent ductus arteriosus.J Thorac Cardiovasc Surg. 1989; 98: 611-613
- Vocal cord paralysis after transcatheter coil embolization of patent ductus arteriosus.Am Heart J. 2003; 146: 367-371
- Intraoperative recurrent laryngeal nerve monitoring during video-assisted throracoscopic surgery for patent ductus arteriosus.J Cardiothorac Vasc Anesth. 2000; 14: 562-564
- Forty-six years of patient ductus arteriosus division at Children's Memorial Hospital of Chicago. Standards for comparison.Ann Surg. 1994; 220: 402-409
- Patent ductus arteriosus ligation: are we doing better?.Ann Thorac Surg. 1995; 59: 822-824
- Optimal elective management of patent ductus arteriosus in the older child.J Pediatr Surg. 1996; 31: 765-767
- Acute and chronic morbidity differences between muscle-sparing and standard lateral thoracotomies.J Thorac Cardiovasc Surg. 1996; 112: 1346-1350
Article info
Identification
Copyright
© 2006 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
