ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Pulmonary sublobar resections in pediatric patients
İsa Döngel1, Berker Özkan2, Serhan Tanju2, Alper Toker2
1Department of Thoracic Surgery, Medical Faculty of Süleyman Demirel University, Isparta, Turkey
2Department of Thoracic Surgery, İstanbul University, İstanbul Faculty of Medicine, İstanbul, Turkey
DOI : 10.5606/tgkdc.dergisi.2014.8470
Background: This study aims to evaluate the outcomes of pulmonary sublobar resection in pediatric patients.

Methods: We retrospectively reviewed the medical records of 405 children who were operated in the Thoracic Surgery Clinic of İstanbul University Medical Faculty between January 2001 and June 2011. Only 43 patients (20 girls, 23 boys; mean age 11.4±0.5 years; range 0 to 16 years) who underwent pulmonary sublobar resection were included in the study. Patients were evaluated in terms of age, gender, complaints on admission, history of previous diseases, diagnostic methods, operative indications, surgical procedures, complications, duration of hospitalization and outcome of the procedure.

Results: Indications for pediatric resections were oncological (n=29), non-oncological (n=9) and congenital pathologies (n=5). The mean duration of hospitalization was 3.6 days after surgical procedure. Morbidity was observed in two patients postoperatively, whereas mortality was not observed.

Conclusion: Indications of pulmonary sublobar resections varies in pediatric patients compared to adults. Pulmonary sublobar resection is a good option for children, as less functioning lung tissue is removed with fewer postoperative complications. It is also relatively simple and fast surgical method, than lobectomy.

Keywords : Pediatric; pulmonary sublobar resection; segmentectomy; wedge resection
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