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Title of Journal: Pediatr Surg Int

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Abbravation: Pediatric Surgery International

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Springer-Verlag

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DOI

10.1002/pssc.200982091

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1437-9813

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Indications for thoracoscopic repair of congenital

Authors: Tadaharu Okazaki Kinya Nishimura Toshiaki Takahashi Hiromichi Shoji Toshiaki Shimizu Toshitaka Tanaka Satoru Takeda Eiichi Inada Geoffrey J Lane Atsuyuki Yamataka
Publish Date: 2010/09/18
Volume: 27, Issue: 1, Pages: 35-38
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Abstract

Five preoperative deaths were excluded leaving 21 subjects TR was only considered once pulmonary hypertension PH improved on echocardiography and if cardiopulmonary status was stable in the decubitus position in the neonatal intensive care unit NICU under conventional mechanical or highfrequency oscillatory ventilation HFOV with/without nitric oxide NO for at least 10 min as a marker for tolerating surgery and manual ventilation was possible for transfer to the operating room All other patients had open repair OR8/21 had TR and 13/21 had OR There were significant differences between TR and OR for prenatal diagnosis 375 vs 846 p  005 and earlier surgery 14 ± 08 vs 25 ±11 days after birth p  005 respectively Intraoperative HFOV was required in all OR and 3 TR p  001 NO was required in 1 TR and 10 OR p  001 Organ herniation was significantly less in TR 50 vs 100 p  001 for stomach 0 vs 54 p  005 for liver Three TR required conversion to OR because of technical difficulties One OR died from deteriorating PH

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