Cited 1 times in

Minimally invasive surgery in infants with congenital diaphragmatic hernia: outcome and selection criteria

Title
 Minimally invasive surgery in infants with congenital diaphragmatic hernia: outcome and selection criteria 
Authors
 Chihwan Cha ; Young Ju Hong ; Seok Joo Han ; Jung-Tak Oh ; Hye Kyung Chang ; Eun Young Chang 
Issue Date
2013
Journal Title
 Journal of the Korean Surgical Society 
ISSN
 2233-7903 
Citation
 Journal of the Korean Surgical Society, Vol.85(2) : 84~88, 2013 
Abstract
PURPOSE: The aim of the study was to determine clinical indications for performing minimally invasive surgery (MIS) with acceptable results by reviewing our experience in congenital diaphragmatic hernia (CDH) repair and comparing outcomes of MIS with open surgery. METHODS: Medical records of patients who underwent CDH repair were reviewed retrospectively between January 2008 and December 2012, and outcomes were compared between MIS and open repair of CDH. RESULTS: From 2008 to 2012, 35 patients were operated on for CDH. Among these patients, 20 patients underwent open surgery, and 15 patients underwent MIS. Patients with delayed presentations (60.0% [9/15] in the MIS group vs. 20.0% [4/20] in the open surgery group; P = 0.015) and small diaphragmatic defect less than 3 cm (80.0% [12/15] in the MIS group vs. 0.0% [0/20] in the open surgery group; P < 0.001) were more frequently in the MIS group than the open surgery group. All 10 patients who also had other anomalies underwent open surgery (P = 0.002). Moreover, nine patients who needed a patch for repair underwent open surgery (P = 0.003). Patients in the MIS group showed earlier enteral feeding and shorter hospital stays. There was no recurrence in either group. CONCLUSION: CDH repair with MIS can be suggested as the treatment of choice for patients with a small sized diaphragmatic defect, in neonates with stable hemodynamics and without additional anomalies, or in infants with delayed presen tation of CDH, resulting in excellent outcomes.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/88157
DOI
10.4174/jkss.2013.85.2.84
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Surgery
Yonsei Authors
사서에게 알리기
  feedback
Files in This Item:
T201303544.pdfDownload
Export
RIS (EndNote)
XLS (Excel)
XML

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse