A 15 year review of the causes of thoracotomy in Amirkola children’s hospital
Iranian Journal of Pediatric Surgery,
Vol. 4 No. 1 (2018),
Introduction: A wide spectrum of pathologies can cause thoracotomy in the pediatric population. The aim of this study was to determine the frequency of causes of thoracotomy in Amirkola Children’s Hospital.
Materials and Methods: This cross sectional study was done on all patients that underwent thoracotomy in Amirkola Children’s Hospital. All information was obtained from the patient medical records admitted between 2001- 2016. The causes of thoracotomy were considered.
Results: Overall 60 patients were studied. Esophageal atresia type C with 37 cases (61.7%) was the most common cause of thoracotomy among children. In the study of associated diseases, 5 cases (8.3%) of patients suffered from Imperforate Anus. 44 cases (%88) of infants and only 6 cases (%12) of non-infants had congenital anomalies, and all 4 patients (100%) of non-infants had mediastinal masses. Five cases (83.3%) of non-infants and only one case (16.7%) of infants underwent thoracotomy because of infectious disease (p <0.001). No significant relationship was found between the causes of thoracotomy and gender (p = 0.41).
Conclusion: Based on the results of this study, esophageal atresia type C is the most common cause of thoracotomy in infants. Additionally, congenital anomalies in infants and the mediastinal mass and infectious disease were more common in children.
- Mediastinal Mass
- Congenital Anomalies
How to Cite
.Kanngiesser P, Florian L, Gisela H, et al: Thoracic surgery in children. European journal of Cardio-thoracic surgery 2005;28(1):50- 5.
.Wyttenbach R, Vock P, Tschappeler H: Cross-sectional imaging with CT and/or MRI of pediatric chest tumors. European radiology 1998;8(6):1040-6.
.Hancock BJ, Di Lorenzo M, Youssef S, et al: Childhood primary pulmonary neoplasms. Journal of pediatric surgery 1993;28(9):1133-6.
.Cohen MC, Kaschula RO: Primary pulmonary tumors in childhood: a review of 31 years’ experience and the literature. Pediatric pulmonology 1992;14(4):222-32.
.Dishop MK, Kuruvilla S: Primary and metastatic lung tumors in the pediatric population: a review and 25-year experience at a large children’s hospital. Archives of pathology & laboratory medicine 2008;132(7):1079-103.
.Costa Junior Ada S, Perfeito JA, Forte V: Surgical treatment of 60 patients with pulmonary malformations: what have we learned? Jornal brasileiro de pneumologia: publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia 2008;34(9):661-6.
Laberge JM, Puligandla P, Flageole H: Asymptomatic congenital lung malformations. Seminars in pediatric surgery 2005;14(1):16- 33.
.Eggli KD, Newman B: Nodules, masses, and pseudomasses in the pediatric lung. Radiologic clinics of North America.
.Colon N, Schlegel C, Pietsch J, et al: Congenital lung anomalies: can we postpone resection? Journal of pediatric surgery 2012;47(1):87-92.
.Tseng YL, Wu MH, Lin MY, et al: Surgery for lung abscess in immunocompetent and immunocompromised children. Journal of pediatric surgery 2001;36(3):470-3.
.Sistonen SJ, Pakarinen MP, Rintala RJ: Long-term results of esophageal atresia: Helsinki experience and review of literature. Pediatric surgery international 2011;27(11):1141.
.Margain L, Perez-Etchepare E, Varlet F, et al: Lower esophageal banding in extremely low birth weight infants with esophageal atresia and tracheoesophageal fistula is a life saving practice followed by a successful delayed primary thoracoscopy reconstruction. Journal of Pediatric Surgery 2015;50(3):489-92.
.Tavalla M, Akhlaghi L, Ourmazdi H, et al: Using Dot-ELISA method to study the prevalence of human hydatidosis in people referred to blood transfusion center in Tehran, 2005-2006. Razi Journal of Medical Sciences 2010;16(67):52-8.
.Delshad S, Farhood P, Nasiri S: Esophageal Replacement in Children: 18 Case Reports from Ali-Asghar Hospital. Razi Journal of Medical Sciences 2006;13(51):97-104.
.Brihaye P, Delpierre I, De Villé A, et al: Comprehensive management of congenital choanal atresia. International Journal of Pediatric Otorhinolaryngology 2017;98:9-18.
.MacKinlay GA: Esophageal atresia surgery in the 21st century. Seminars in Pediatric Surgery 2009;18(1):20-2.
.Gupta DK, Sharma S: Esophageal atresia: the total care in a high-risk population. Seminars in Pediatric Surgery 2008;17(4):236- 43.
.Schmidt A, Obermayr F, Lieber J, et al: Outcome of primary repair in extremely and very low-birth-weight infants with esophageal atresia/distal tracheoesophageal fistula. Journal of Pediatric Surgery 2017;52(10):1567-70.
.Polonkai E, Nagy A, Csízy I, et al: Pyloric atresia associated with Dieulafoy lesion and gastric dysmotility in a neonate. Journal of Pediatric Surgery 2011;46(10):e19-e23.
.Pham NMH, Alexander PMA, Chow CW, et al: Anterior Mediastinal Lymphangioma in an Infant: Diagnosis and Surgical Management. Heart, Lung and Circulation 2012;21(5):289-91.
.Haller Jr JA, Shermeta DW, Donahoo JS, et al: Life-Threatening Respiratory Distress from Mediastinal Masses in Infants. The Annals of Thoracic Surgery 1975;19(4):364-70.
.Gupta S, Prasad G, Kundu R, et al: On table extubation after emergency thoracotomy for mediastinal mass in a neonate. Journal of Clinical Anesthesia 1975;19(4):364-70.
.Zhurilo I, Kononuchenko V, Litovka V, et al: Mediastinal tumors and tumor-like formations in children. Klinichna khirurhiia/ Ministerstvo okhorony zdorov’ia Ukrainy, Naukove tovarystvo khirurhiv Ukrainy 2001(9):44-7.
.Haglti Z, Bagheri R: The study of 22 cases of mediastinal tumors in children with acute respiratory manifest tation 2005.
.Kuleva S, Kolygin B: Malignant mediastinal neoplasms in children. Vestnik khirurgii imeni II Grekova 2003;162(2):46-8.
.Lam J, Chui C, Jacobsen A, et al: When is a mediastinal mass critical in a child? An analysis of 29 patients. Pediatric surgery international 2004;20(3):180-4.
.Li G, Su J, Fan X, et al: Safety and Efficacy of Ventricular Septal Defect Repair Using a Cosmetic Shorter Right Lateral Thoracotomy on Infants Weighing Less than 5 kg. Heart, Lung and Circulation 2015;24(9):898-904.
- Abstract Viewed: 288 times
- PDF Downloaded: 163 times