THORACOSCOPY

 

Paediatric thoracoscopy: State of the art

 

 

M. L. van Niekerk

M.B. Ch.B., M.Med. (surg.), F.C.S. (s.A.). Division of Paediatric Surgery, Department of Surgery, University of Pretoria

 

 

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ABSTRACT

Brad Rogers reported the first significant use of thoracoscopy in children in the late 1970s. Over the past two decades there has been an exponential growth and expansion of this technique. Many advanced procedures, including lobectomy, repair of tracheo-oesophageal fistula, excision of mediastinal tumours and diaphragmatic hernia repairs, are being done routinely in paediatric surgery centres around the world. This article reviews the state of the art of thoracoscopic surgery in children. The author selected five procedures which in his opinion are most relevant for this discussion. The thoracoscopic technique seems to offer a favourable alternative to open surgery, but more clinical research is necessary to confirm the benefits of minimal access surgery.

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REFERENCES

1. Jacobeus HC. The practical importance of thoracoscopy in surgery of the chest. Surg Gynecol Obststet 1926;4:289-296.         [ Links ]

2. Rogers BM, Moazam F. Thoracoscopy in children. Ann Surg 1979;189:176-180.         [ Links ]

3. Rothenberg SS. Thoracoscopy in infants and children: state of the art. J Pediatr Surg 2005;40:303-306.         [ Links ]

4. Ure BM, Schmidt AL. Thoracoscopic surgery in infants and children. Eur J Pediatr Surg 2005;15:314-318.         [ Links ]

5. Holcomb III GW, Rothenberg S, Bax KMA, et al. Thoracoscopic repair of esophageal atresias and tracheoesophageal fistula. Ann Surg 2005)242:422-429.         [ Links ]

6. Jaureguizar E, Vazquez J, Murcia J, et al. Morbid musculoskeletal sequence of thoracotomy for tracheoesophageal fistula. J Pediatr Surg 1985;20:511-514.         [ Links ]

7. Rothenberg SS. Thoracoscopic closure of patent ductus arteriosus in infants and children. Pediatric Endosurgery & Innovative Techniques 2001;5:109-111.         [ Links ]

8. Albanese C. Closing the gap. Pediatric Endosurgery & Innovative Techniques 2002;6:215-216.         [ Links ]

9. Patkowski D, Tysiakiewicz K, Jaworski W, et al. Thoracoscopic repair of tracheoesophageal fistula and esophageal atresia. J Laparoendosc Adv Surg Techn 2009;19:19-22.         [ Links ]

10. Thang N, Kambiz Z, Trung B, et al. Thoracoscopic repair of esophageal atresia and tracheoesophageal fistula: lessons learned. J Laparoendosc Adv Surg Techn 2006;16:174-178.         [ Links ]

11. Fan LL, Kozmetz CA, Rothenberg S, et al. Diagnostic value of transbronchial thoracoscopic and open lung biopsy in the immunocompetent child with chronic interstitial lung disease. J Pediatr Surg 1997;131:565-569.         [ Links ]

12. Holcomb III GW, Tomita SS. Minimally invasive surgery in children with cancer. Cancer 1995;76:121-128.         [ Links ]

13. Seema K, Pursani MD, Rausen AR. Combined use of preoperative methylene blue and microcoil localization facilitates thoracoscopic wedge resection of indeterminate pulmonary nodules in children. J Laparoendosc Adv Surg Techn 2006;2:184-187.         [ Links ]

14. Lobe TE. Pediatric thoracoscopy. Semin Thorac Cardiovasc Surg 1993;5:298-302.         [ Links ]

15. Rothenberg SS. First decade's experience with thoracoscopic lobectomy in infants and children. J Pediatr Surg 2008;43:40-45.         [ Links ]

16. Rothenberg SS. Experience with thoracoscopic lobectomy in infants and children. J Pediatr Surg 2003;38:102-104.         [ Links ]

17. Engum SA. Minimal access thoracic surgery in the pediatric population. Semin Pediatr Surg 2007;16:14-26.         [ Links ]

18. Garrett-Cox R, MacKinley G, Munro F, et al. Early experience of pediatric thoracoscopic lobectomy in the UK. J Laparoendosc Adv Surg Techn 2008;18:457-459.         [ Links ]

19. Albanese CT, Rothenberg SS. Experience with 144 consecutive lobectomies in pediatric patients. J Laparoendosc Adv Surg Techn 2007;17:339-341.         [ Links ]

20. Becmeur F, Reinberg O, Dimitria C. Thoracoscopic repair of congenital diaphragmatic hernia in children. Semin Pediatr Surg 2007;16:238-244.         [ Links ]

21. Kim AC, Bryner S, Akay B, et al. Thoracoscopic repair of congenital diaphragmatic hernia in neonates: lessons learned. J Laparoendosc Adv Surg Techn 2009;19:575-579.         [ Links ]

22. Rozmiarek A, Weinsheimer R, Azzie G. Primary thoracoscopic repair of diaphragmatic hernia with pericostal sutures. J Laparoendosc Adv Surg Techn 2005;15:667-669.         [ Links ]

23. Marhuenda C, Guillén G, Sanchez B, et al. Endoscopic repairoflatepresenting Morgagni and Bochdalek hernia in children: case report and review of the literature. J Laparoendosc Adv Surg Techn 2009;19:S-95-S100.         [ Links ]

24. Nguyen TL, Le AD. Thoracoscopic repair for congenital diaphragmatic hernia: lessons from 45 cases. J Pediatr Surg 2006;41:1713-1717.         [ Links ]

25. Guner YS, Chokshi N, Aranda A. Thoracoscopic repair of neonatal diaphragmatic hernia. J Laparoendosc Adv Surg Techn 2008;18:875-880.         [ Links ]

26. Patrick DA, Rothenberg SS. Thoracoscopic resection of mediastinal masses in infants and children. J Pediatr Surg 2001;36:1165-1167.         [ Links ]

27. Valla JS, Leclair MD, Heloury Y. Thoracoscopic removal of neurogenic mediastinal tumours. In: Bax NMA, Georgeson KE, Najmaldin A, Valla GS, eds. Endoscopic Surgery in Children. Berlin: Springer, 2008: 189-197.         [ Links ]