Search

Background: In this article, we are going to report our experience on thoracoscopy approach for pulmonary sequestration in children and compare it with traditional open approach. Methods: This retrospective study included 25 patients with pulmonary sequestration (marked as Group 1), who were treated from January 2003 to December 2009 with open approach, and 32 patients treated between January 2010 and December 2019, who underwent thoracoscopy procedure (marked as Group 2). The preoperative data, operative details, and follow-up outcomes were studied and compared between two groups to discuss the advantages of thoracoscopy approach. Statistical comparison was made with unpaired t tests, χ2 tests and Fisher exact probabilities, with P value less than 0.05 considered significant. Results: To bring less-related effect during the comparison, patients with similar preoperative data were selected. Group 2 whose operation time was longer than Group 1 was completed with thoracoscopy approach in all but one patient, who was converted to open surgery. However, the antibiotics consumption, drainage time, and hospital stay after surgery were shorter in Group 2 with less intraoperative blood loss, less postoperative complication and less volume of drainage. All patients were followed-up by CT scan for 3–24 months (mean, 13.8 months) and the recovery and improvement were better in Group 2. Conclusion: Compared to open surgery, thoracoscopy surgery has many benefits and was safe, feasible, and effective for the treatment of pulmonary sequestration in child patients. [ABSTRACT FROM AUTHOR]

Background: In this article, we report our experience on laparoscopic pneumovesical Cohen approach for vesicoureteral junction (VUJ) stricture in children and compared it with traditional open Cohen approach. Patients and Methods: Ninety-eight children (114 ureters) with VUJ stricture were involved in this study who were treated from January 2008 to December 2017. Forty-eight patients (56 ureters) treated with open Cohen approach from January 2008 to December 2011 were marked as Group 1 and 50 patients (58 ureters) treated with laparoscopic pneumovesical Cohen approach from January 2012 to December 2017 were marked as Group 2. The preoperative data, operative details, and follow-up outcomes were studied and compared between two groups to discuss the advantages of the laparoscopic pneumovesical approach. Statistical comparison was made with unpaired t-tests, χ2 tests, and Fisher exact probabilities, with P value <.05 was considered significant. Results: To bring less related effect during comparison, patients with similar preoperative data were selected. The time of operation of Group 2 was longer than that of Group 1, and the operation of Group 2 was completed with the laparoscopic pneumovesical approach in all but 1 patient (1 ureter), which was converted to open surgery. However, the postoperative gross hematuria duration, antibiotics consumption, retention time of urinary catheter, and hospital stay after surgery were shorter in Group 2 with less intraoperative blood loss, less postoperative complications, and less drainage catheter. All patients were followed up by ultrasonography, excretory retrograde urography, and magnetic resonance urogram for 3-24 months (mean 15.6 months) and the recovery and improvement were better in Group 2. Conclusions: Compared with open surgery, the laparoscopic pneumovesical approach has many benefits and was effective for the treatment of obstructive megaureter in children. [ABSTRACT FROM AUTHOR]