serval:BIB_381E0F5990E9
Bilateral anterior sternothoracotomy (clamshell incision): a suitable alternative for bilateral lung sarcoma metastasis in children
10.1186/1477-7819-12-233
000339836700001
25064077
Abbo
O.
author
Guatta
R.
author
Pinnagoda
K.
author
Joseph
J.M.
author
article
2014
World Journal of Surgical Oncology
1477-7819
1477-7819
journal
12
233-233
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.
Lung Neoplasms/secondary
Lung Neoplasms/surgery
Pneumonectomy/methods
Postoperative Complications/diagnosis
Sarcoma/pathology
Sarcoma/surgery
Sternotomy/methods
Thoracotomy/methods
eng
60_published
true
peer-reviewed
Publication types: Research ; research-article Identifiant PubMed Central: PMC4118191
University of Lausanne
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