Segmental resection for the treatment of congenital pulmonary malformations Naina Bagrodia, Shannon Cassel, Junlin Liao, Graeme Pitcher, Joel Shilyansky PII: DOI: Reference:
S0022-3468(14)00030-X doi: 10.1016/j.jpedsurg.2014.01.021 YJPSU 56652
To appear in:
Journal of Pediatric Surgery
Received date: Accepted date:
14 January 2014 27 January 2014
Please cite this article as: Bagrodia Naina, Cassel Shannon, Liao Junlin, Pitcher Graeme, Shilyansky Joel, Segmental resection for the treatment of congenital pulmonary malformations, Journal of Pediatric Surgery (2014), doi: 10.1016/j.jpedsurg.2014.01.021
This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT Segmental Resection for the Treatment of Congenital Pulmonary Malformations
Department of Surgery, Division of Pediatric Surgery, University of Iowa Hospitals and Clinics
CE
PT
ED
MA
NU
SC
1
RI P
T
Naina Bagrodia, MD. 1, Shannon Cassel, MD. 1, Junlin Liao Ph.D. 1, Graeme Pitcher MB BCh 1, Joel Shilyansky, MD. 1
AC
*Corresponding Author: Joel Shilyansky, MD Robert and Hélène Soper Chair of Pediatric Surgery Surgeon-in-Chief Division of Pediatric Surgery University of Iowa Hospitals and Clinics 200 Hawkins Drive; 4642 JCP Iowa City, Iowa 52242 [email protected] P: 319-356-1766 F: 319-384-9510 Synopsis: This manuscript recounts our experience with congenital pulmonary malformations and focuses on the surgical management of these lesions. We demonstrate that lung tissue conservation through segmental resections is safe.
ACCEPTED MANUSCRIPT Segmental resection and congenital pulmonary malformation ABSTRACT: Purpose: The purpose of this study was to compare clinical outcomes of segmental resection to
T
lobectomy as increasing antenatal diagnosis of congenital pulmonary malformations has led to a
RI P
shift in surgical management.
congenital pulmonary malformations was performed.
SC
Methods: A retrospective institutional review for patients undergoing surgical excision of
NU
Results: Sixty-two patients with congenital pulmonary malformations were reviewed between 2001 and 2012. Forty-five were included for analysis. Malformations were subdivided into two
MA
groups, including congenital lobar emphysema (CLE) (n=11, 24%) and intrapulmonary (IP) lesions (n=34, 76%). Nineteen (56%) IP patients underwent segmental resection, and 15 (79%)
ED
were performed thoracoscopically without conversion to thoracotomy. None of these patients
PT
had recurrent disease. Lobectomy was performed in 11 (100%) CLE and 15 (44%) IP patients, and the majority were by thoracotomy. Median hospital stay was longer for the lobectomy group
CE
at 7 days when compared to the segmentectomy group at 2 days (p
S0022-3468(14)00030-X doi: 10.1016/j.jpedsurg.2014.01.021 YJPSU 56652
To appear in:
Journal of Pediatric Surgery
Received date: Accepted date:
14 January 2014 27 January 2014
Please cite this article as: Bagrodia Naina, Cassel Shannon, Liao Junlin, Pitcher Graeme, Shilyansky Joel, Segmental resection for the treatment of congenital pulmonary malformations, Journal of Pediatric Surgery (2014), doi: 10.1016/j.jpedsurg.2014.01.021
This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT Segmental Resection for the Treatment of Congenital Pulmonary Malformations
Department of Surgery, Division of Pediatric Surgery, University of Iowa Hospitals and Clinics
CE
PT
ED
MA
NU
SC
1
RI P
T
Naina Bagrodia, MD. 1, Shannon Cassel, MD. 1, Junlin Liao Ph.D. 1, Graeme Pitcher MB BCh 1, Joel Shilyansky, MD. 1
AC
*Corresponding Author: Joel Shilyansky, MD Robert and Hélène Soper Chair of Pediatric Surgery Surgeon-in-Chief Division of Pediatric Surgery University of Iowa Hospitals and Clinics 200 Hawkins Drive; 4642 JCP Iowa City, Iowa 52242 [email protected] P: 319-356-1766 F: 319-384-9510 Synopsis: This manuscript recounts our experience with congenital pulmonary malformations and focuses on the surgical management of these lesions. We demonstrate that lung tissue conservation through segmental resections is safe.
ACCEPTED MANUSCRIPT Segmental resection and congenital pulmonary malformation ABSTRACT: Purpose: The purpose of this study was to compare clinical outcomes of segmental resection to
T
lobectomy as increasing antenatal diagnosis of congenital pulmonary malformations has led to a
RI P
shift in surgical management.
congenital pulmonary malformations was performed.
SC
Methods: A retrospective institutional review for patients undergoing surgical excision of
NU
Results: Sixty-two patients with congenital pulmonary malformations were reviewed between 2001 and 2012. Forty-five were included for analysis. Malformations were subdivided into two
MA
groups, including congenital lobar emphysema (CLE) (n=11, 24%) and intrapulmonary (IP) lesions (n=34, 76%). Nineteen (56%) IP patients underwent segmental resection, and 15 (79%)
ED
were performed thoracoscopically without conversion to thoracotomy. None of these patients
PT
had recurrent disease. Lobectomy was performed in 11 (100%) CLE and 15 (44%) IP patients, and the majority were by thoracotomy. Median hospital stay was longer for the lobectomy group
CE
at 7 days when compared to the segmentectomy group at 2 days (p
