ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
EXPERIENCE WITH VIDEO ASSISTED THORACOSCOPIC SURGERY IN CHILDREN
Haluk Güvenç, Gülşen Ekingen, Ufuk Şenel, Selami Sözübir
Kocaeli Üniversitesi Tıp Fakültesi, Çocuk Cerrahisi Ana Bilim Dalı, Kocaeli
Background: Nowadays, advances in video-endoscopic technology have allowed for application of thoracoscopic surgery in pediatric population. The aim of study was to evaluate the video-assisted thoracoscopic surgery in children with various chest diseases

Methods: Between 2001 and 2003, video- assisted thoracoscopic surgery was performed in 19 patients with a mean age of 5. 6 years. The diseases included empyema, lung abscess, pneumothocell, diaphragm eventration, mediastinal mass, chest wall arterio-venous malformation. In all cases, localization of lesions were determined by radiological examination before operation and the surgery was done under bilateral lung ventilation.

Results: The mean operative time was 95 minutes (75-180). The mean duration of chest tube drainage was 4 days (1-8) and hospital stay was 7.2 days after surgery (3-11). Conversion to open surgery was necessary in two cases. One patient was reoperated. There is no death.

Conclusion: We consider that video-assisted thoracoscopic surgery can be preferred safely for management of chest disease in children.

Keywords : Thoracoscopy, empyema, diaphragm plication, hidatid cyst, child
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