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Volume 12, Issue 1, Pages 62-70 (February 2003)


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The role of thoracoscopy in pediatric surgical practice

Bradley M. Rodgers

Abstract 

Originally described in the early 20th century, the technique of thoracoscopy was first applied to children in the mid 1970s. Since that time, the technique has become adopted widely by pediatric surgeons and is currently considered to be the optimum technique for management of many intrathoracic disorders in children. In most pediatric surgical practices, the most common indications for thoracoscopy include pleural debridement for empyema, mediastinal lymph node biopsy, and pulmonary parenchymal biopsy for inflammatory infiltrates or nodules. With proper adherence to patient selection and preoperative imaging as well as appropriate anesthetic techniques, this procedure has proven to be extremely accurate in achieving a diagnosis and very successful in treating most patients. Postoperative recovery is rapid, and complications of the procedure have been relatively infrequent. As pediatric surgeons gain more experience with this technique and as better instrumentation becomes available, thoracoscopy surely will be used for an increasing number of complex intrathoracic disorders. Copyright 2003, Elsevier Science (USA). All rights reserved.

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1. 1 Forlanini C. A contribuziioni della erapia chirurgica della tisi-Ablazione del polmone: Pneumotorace artificiale. Gazz Osp. 1882;68:537–539 585-587, 601-602, 609-610, 617-619, 625-627, 641-643, 657-660, 665-667, 689-691, 705-707.

2. 2 Jacobaeus HC. Ueber die Moglichkeit die Zystoskopie bei untersuchung seroser hohlungen anzuwenden. Munchen Med Wochenschr. 1910;57:2090–2092.

3. 3 Jacobaeus HC, Key E. Some experiences of intrathoracic tumors, their diagnosis and their operative treatment. Acta Chir Scan. 1921;53:573–623.

4. 4 Bloomberg AE. Thoracoscopy in perspective. Surg Gynecol Obstet. 1978;147:433–443. MEDLINE

5. 5 Brandt HJ. Endoskopie und biopsie in der diagnastik pneumologescher krankheiten. Prax Pneumon. 1977;31:384–401.

6. 6 Loddenkemper R. Thoracoscopy: Results in non-cancerous and idiopathic pleural effusions. Poumon. 1981;37:261–264.

7. 7 Rodgers BM, Talbert JL. Thoracoscopy for diagnosis of intrathoracic lesions in children. J Pediatr Surg. 1976;11:703–708. Abstract | Full-Text PDF (508 KB) | CrossRef

8. 8 Rodgers BM. Instrumentation and technique for pediatric thoracoscopy. Pediatr Endosurg Inno Tech. 2001;5:93–99.

9. 9 Landreneau RJ, Mack MJ, Keenan RJ, et al.  Strategic Planning for video-assisted thoracic surgery. Ann Thorac Surg. 1993;56:615–619. MEDLINE

10. 10 McGahren ED, Kern JA, Rodgers BM. Anesthetic techniques for pediatric thoracoscopy. Ann Thorac Surg. 1995;60:927–930. MEDLINE | CrossRef

11. 11 Hutter J, Miller K, Moritz E. Chronic sequels after thoracoscopic procedures for benign diseases. Euro J Cardio-Thorac Surg. 2000;17:687–690.

12. 12 Burns RC, McGahren ED, Rodgers BM. Thoracoscopic approach to pulmonary parenchymal lesions. Pediatr Endosurg Inno Tech. 2001;5:141–151.

13. 13 Rodgers BM. Pediatric thoracoscopy: Where have we come and what have we learned?. Ann Thorac Surg. 1993;56:704–707. MEDLINE

14. 14 Rothenberg SS, Wagner JS, Chang JH, et al.  The safety and efficacy of thoracoscopic lung biopsy for diagnosis and treatment in infants and children. J Pediatr Surg. 1996;31:100–104. Abstract | Full-Text PDF (562 KB) | CrossRef

15. 15 Waldhausen JH, Shaw DW, Hall DG, et al.  Needle localization for thoracoscopic resection of small pulmonary nodules in children. J Pediatr Surg. 1997;32:1624–1625. Abstract | Full-Text PDF (741 KB) | CrossRef

16. 16 DeKerviler E, Gossot D, Frija J. Localization techniques for the thoracoscopic resection of pulmonary nodules. Int Surg. 1996;81:241–244. MEDLINE

17. 17 Partrick DA, Bensard DD, Teitellbaum DH, et al.  Successful thoracoscopic lung biopsy in children utilizing preoperative CT-guided localization. J Pediatr Surg. 2002;37:970–973. Abstract | Full Text | Full-Text PDF (68 KB) | CrossRef

18. 18 Spira R, Zamir O, Benarush MW, et al.  The role of thoracoscopic biopsy in the diagnosis of pulmonary nodules appearing in children with nonpulmonary cancer. Pediatr Endosurg Inno Tech. 1998;2:65–68.

19. 19 Rao BN. Present day concepts of thoracoscopy as a modality in pediatric cancer management. Int Surg. 1997;82:123–126. MEDLINE

20. 20 Saenz NC, Conlon KCP, Aronson DC, et al.  The application of minimal access procedures in infants, children and young adults with pediatric malignancies. J Laparoendo Advanced Surg Tech. 1997;7:289–294.

21. 21 Chen MK, Schropp , Lobe TE. Complications of minimal-access surgery in children. J Pediatr Surg. 1996;31:1161–1165. Abstract | Full-Text PDF (521 KB) | CrossRef

22. 22 Rodgers BM, Moazam F, Talbert JH. Thoracoscopy in children. Ann Surg. 1979;189:176–180. MEDLINE

23. 23 Partrick DA, Rothenberg SS. Thoracoscopic resection of mediastinal masses in infants and children: An evaluation of technique and results. J Pediatr Surg. 2001;36:1165–1167. Abstract | Full Text | Full-Text PDF (27 KB) | CrossRef

24. 24 Kolski H, Vajsar J, Kim PCW. Thoracoscopic thymectomy in juvenile myasthenia gravis. J Pediatr Surg. 2000;35:768–770. Abstract | Full Text | Full-Text PDF (49 KB) | CrossRef

25. 25 Kogut KA, Bufo AJ, Rothenberg SS, et al.  Thoracoscopic thymectomy for myasthenia gravis in children. J Pediatr Surg. 2000;35:1576–1577. Abstract | Full Text | Full-Text PDF (16 KB) | CrossRef

26. 26 Pelligrini C, Witter LA, Patti M, et al.  Thoracoscopic esophagomyotomy: Initial experience with a new approach for the treatment of achalasia. Ann Surg. 1992;216:291–299. MEDLINE

27. 27 Swanstrom LL, Pennings J. Laparoscopic esophagomyotomy for achalasia. Surg Endosc. 1995;9:286–292. MEDLINE

28. 28 Rothenberg SS, Partrick DA, Bealer JF, et al.  Evaluation of minimally invasive approaches to achalasia in children. J Pediatr Surg. 2001;36:808–810. Abstract | Full Text | Full-Text PDF (28 KB) | CrossRef

29. 29 Mehra M, Bahar RJ, Ament ME, et al.  Laparoscopic and thoracoscopic esophagomyotomy for children with achalasia. J Pediatr Gastroenteral Nutr. 2001;33:466–471.

30. 30 Laborde F, Noirhomme P, Karam J, et al.  A new video-assisted thoracoscopic surgical technique for interruption of patient ductus arteriosus in infants and children. J Thorac Cardiovasc Surg. 1993;105:278–280. MEDLINE

31. 31 Burke RP. Video-assisted endoscopy for congenital heart repair. Semin Thorac Cardiovasc Surg Pediatr Card Surg Ann. 2001;4:208–215.

32. 32 Holcomb GW, Mencio GA, Green NE. Video-assisted thoracoscopic diskectomy and fusion. J Pediatr Surg. 1997;32:1120–1122. Abstract | Full-Text PDF (860 KB) | CrossRef

33. 33 Dickman CA, Detweiler PW, Porter RW. Endoscopic spine surgery. Clin Neuro. 2000;46:526–553.

34. 34 Lobe TE, Rothenberg S, Waldschmidt J, et al.  Thoracoscopic repair of esophageal atresia in an infant: A surgical first. Pediatr Endosurg Innov Tech. 1999;3:141–148.

35. 35 Klaas MA, VanderZee DC. Feasibility of thoracoscopic repair of esophageal atresia with distal fistula. J Pediatr Surg. 2002;37:192–196. Abstract | Full Text | Full-Text PDF (173 KB) | CrossRef

36. 36 Rothenberg SS. Thoracoscopic repair of a tracheoesophageal fistula in newborns. J Pediatr Surg. 2002;37:869–872. Abstract | Full Text | Full-Text PDF (302 KB) | CrossRef

37. 37 Mouroux J, Padovani B, Pourier NC, et al.  Technique for repair of diaphragmatic eventration. Ann Thorac Surg. 1996;62:905–907. MEDLINE | CrossRef

38. 38 Nieto-Zermeno J, Ordorica-Flores R, Mntes-Tapia F, et al.  Three cases of unilateral congenital diaphragmatic eventration treated by plication with thoracoscopic surgery. Pediatr Endosurg Innov Tech. 1998;2:111–115.

39. 39 Smith RS, Fry WR, Tsoi EKM, et al.  Preliminary report on videothoracoscopy in the evaluation and treatment of thoracic injury. Am J Surg. 1993;166:690–695. MEDLINE | CrossRef

40. 40 Kern JA, Tribble CG, Spotnitz WD, et al.  Thoracoscopy in the subacute management of patients with thoracoabdominal trauma. Chest. 1993;104:942–945. MEDLINE | CrossRef

41. 41 Rodgers BM, Burns RC, McGahren ED. Thoracoscopy for treatment of spontaneous pneumothorax in children. Pediatr Endosurg Inno Tech. 2001;5:101–107.

42. 42 Stringel G, Amen NS, Dozor AJ. Video-assisted thoracoscopy in the management of recurrent spontaneous pneumothorax in the pediatric population. J Soc Laparoendo Surg. 1999;3:113–116.

43. 43 Tribble CG, Selden RF, Rodgers BM. Talc poudrage in the treatment of spontaneous pneumothoraces in patients with cystic fibrosis. Ann Surg. 1986;204:677–680. MEDLINE

44. 44 Hutter JA, Harari D, Braimbridge MV. The management of empyema thoracis by thoracoscopy and irrigation. Ann Thorac Surg. 1985;39:517–520. MEDLINE

45. 45 Ridley PD, Braimbridge MV. Thoracoscopic debridement and pleural irrigation in the management of empyema thoracis. Ann Thorac Surg. 1991;51:461–464. MEDLINE

46. 46 American Thoracic Society Subcommittee on Surgery-Management of Nontuberculous empyema. Am Rev Respir Dis. 1962;85:935–936.

47. 47 Kern JA, Rodgers BM. Thoracoscopy in the management of empyema in children. J Pediatr Surg. 1993;28:1128–1132. Abstract | CrossRef

48. 48 McGahren ED. The Use of thoracoscopy for treatment of empyema in children. Pediatr Endosurg Innov Tech. 2001;5:117–125.

49. 49 Burns RC, McGahren ED, Rodgers BM. Thoracoscopy in the management of chylothorax. Pediatr Endosurg Innov Tech. 2001;5:153–158.

50. 50 Graham DD, McGahren ED, Tribble CG, et al.  Use of video-assisted thoracic surgery in the treatment of chylothorax. Ann Thorac Surg. 1994;57:1507–1512. MEDLINE

51. 51 Rothenberg SS. Thoracoscopic lung resection in children. J Pediatr Surg. 2000;35:271–274. Abstract | Full Text | Full-Text PDF (38 KB) | CrossRef

52. 52 Ure BM, Bax NMA, VanderZee DC. Laparoscopy in infants and children: A prospective study on feasibility and the impact on routine surgery. J Pediatr Surg. 2000;36:1170–1173.

Department of Surgery, University of Virginia Health System, Charlottesville, VA. Charlottesville, Virginia

 Address reprint requests to Bradley M. Rodgers, MD, University of Virginia Health System, Department of Surgery, PO Box 800709, Charlottesville, VA 22908.

PII: S1055-8586(03)70008-0


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