• Alexandra Gomola, Olivier Gall, Miche LE Larroquet, Isabelle Constant, Patrick Balquet, and Isabelle Murat.
• Department of Anaesthesia and Intensive Care, Hôpital d»enfants Armand Trousseau,Department of SurgeryHôpital d»enfants Armand Trousseau, Paris cedex 12, France.
• Paediatr Anaesth. 1997 May 1; 7 (3): 215-220.

AbstractThis case-control study was designed to evaluate the potential advantages and disadvantages of video-assisted thoracoscopic surgery for right middle lobectomy in children. Ten children (6.1±3.0 yr, mean±SD) who underwent right middle lobectomy under videoscopy were compared with 10 controls matched for age (6.8±3.5 yr) and operated by thoracotomy (muscle-sparing technique) during the same period by the same surgeon. Operating time was significantly longer in the videoscopy group than in the thoracotomy group (146±28 mn vs 100±27 mn, P<0.001). Minimum oxygen saturation values were significantly higher in the videoscopy group whereas oxygen requirements did not differ between groups. Incidence of postoperative respiratory complications (mainly atelectasis) was similar in the two groups. No difference in postoperative analgesic requirements in the postoperative period was demonstrated. No real benefit or disadvantage of videoscopy over standard thoracotomy could be observed in this retrospective case-control study.1997 Blackwell Science Ltd.

3 keywords...

hide…