Abstract
Background/ Purpose
Elective resection of congenital lung malformations (CLMs) is still debatable. The
two main risks are malignant transformation and recurrent pulmonary infections. Our
study aimed to assess the effect of previous pulmonary infection on the intraoperative
and postoperative courses of thoracoscopic surgery for CLMs.
Methods
This is a retrospective study including all thoracoscopic lung resections for CLMs
between 2010 and 2019. Ninety patients were included. There was a history of previous
pulmonary infection in 28 patients (group A) and no such history in 62 patients (group
B).
Results
The median age at operation for group A was 20.4 months (IQR:14.9–41.4) versus 15.1
months (IQR:9.7–20.8) in group B (p = 0.006). There were 10 conversions (35.7%) in group A and 8 (12.9%) in group B (p = 0.02). The operative time was significantly shorter in group B (p<0.002). In group A, 32.1% of patients experienced postoperative fever versus 11.3%
of group B (p = 0.03), with higher antibiotics requirement (28.6% versus 6.5% respectively, p = 0.007). However, no significant differences were found in terms of postoperative
complications (p = 0.99).
Conclusion
Earlier intervention for CLMs before the development of pulmonary infection carries
higher chances for the success of the thoracoscopic approach with shorter operative
time and more uneventful postoperative courses.
Keywords
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Article info
Publication history
Published online: January 27, 2021
Accepted:
January 19,
2021
Received in revised form:
January 13,
2021
Received:
September 22,
2020
Footnotes
Level of Evidence: Level III
Identification
Copyright
© 2021 Elsevier Inc. All rights reserved.
