Bilateral anterior sternothoracotomy (clamshell incision): a suitable alternative for bilateral lung sarcoma metastasis in children

Détails

Ressource 1Télécharger: BIB_381E0F5990E9.P001.pdf (410.57 [Ko])
Etat: Public
Version: Final published version
ID Serval
serval:BIB_381E0F5990E9
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Bilateral anterior sternothoracotomy (clamshell incision): a suitable alternative for bilateral lung sarcoma metastasis in children
Périodique
World Journal of Surgical Oncology
Auteur(s)
Abbo O., Guatta R., Pinnagoda K., Joseph J.M.
ISSN
1477-7819 (Electronic)
ISSN-L
1477-7819
Statut éditorial
Publié
Date de publication
2014
Peer-reviewed
Oui
Volume
12
Pages
233-233
Langue
anglais
Notes
Publication types: Research ; research-article Identifiant PubMed Central: PMC4118191
Résumé
BACKGROUND: The aim of our study was to assess the postoperative course of bilateral anterior sternothoracotomy (BAT) in children with sarcoma metastases, in a curative care perspective.
METHODS: We reviewed the records of seven patients younger than 18 years old, who underwent surgical procedures for sarcoma metastasis to the lung between 2000 and 2012. We compared the postoperative course of the BAT group with that of patients who underwent unilateral posterolateral thoracotomies (PLTs) for the same etiology.
RESULTS: Of 17 surgical procedures, there were seven BAT and 10 unilateral PLT. Mean ages at the time of the procedures were 12.9 ± 5.4 years old for BAT, and 17.4 ± 1.9 years old for PLT. Mean operative time was 173 ± 37 minutes in the BAT group, and 145 ± 39 minutes in the PLT group (P = 0.19). Patients received epidural analgesia in all cases; this was for a mean time of 3.8 ± 1.3 days in the BAT group, and 3.21 ± 4 days in the PLT group (P = 0.36). Chest tubes were removed after 3.6 ± 1.3 days in the BAT group, and 3 ± 1.2 days in the PLT group (P = 0.69). Total hospital stay was 7.7 ± 6.6 days in the BAT group, and 7 ± 1.2 days in the PLT group (P = 0.72).
CONCLUSION: In our experience, BAT seems suitable and shows outcomes similar to those of PLT for sarcoma metastasis resection. The BAT procedure allows the manual exploration of both lungs during a single surgical intervention, and so reduces the delay of further therapies.
Mots-clé
Lung Neoplasms/secondary, Lung Neoplasms/surgery, Pneumonectomy/methods, Postoperative Complications/diagnosis, Sarcoma/pathology, Sarcoma/surgery, Sternotomy/methods, Thoracotomy/methods
Pubmed
Web of science
Open Access
Oui
Création de la notice
11/07/2016 11:04
Dernière modification de la notice
20/08/2019 14:26
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