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Table 5 Literature review

From: Surgery in congenital lung malformations: the evolution from thoracotomy to VATS, 10-year experience in a single center

Author

Year

Number of Patients

Patient group

Key results

Jung HS. et al. [24]

2014

113 (All patients underwent VATS; 4 patients were converted to open thoracotomy)

Bronchogenic cyst

The median operation time was 96.8 min (range, 15–320 min). There were no operative mortalities or major postoperative complications. VATS excision of bronchogenic cysts described as safe and feasible.

Guo et al. [25]

2016

99 (V:65, T:34)

Bronchogenic cyst

The VATS group had shorter operative time (108.77 ± 47.81 vs. 144.62 ± 55.16, P = 0.001), shorter hospital stay and drainage time (4.94 ± 2.01 vs. 8.64 ± 5.52 days, P = 0.001; 2.52 ± 1.29 vs. 3.71 ± 1.55 days, P < 0.001, respectively).

Wang et al. [26]

2018

119 (All patients underwent VATS; 1 patient was converted to open thoracotomy)

Bronchogenic cyst

Mean operative time was 103.8 ± 41.6 min (40–360 min). The intraoperative complication rate was 3.4%. VATS was described as safe and reliable for the management of MBCs

Liu et al. [27]

2013

42 (V:18, T:24)

Pulmonary sequestration

No significant differences were found between VATS and thoracotomy group in terms of the duration of operation, blood loss, amount of chest drainage, duration of chest drainage, length of postoperative hospital stay, and complications.

Sun X. et al. [28]

2014

69 (V:9, T:55)

Pulmonary sequestration

Length of postoperative hospital stay was shorter in VATS group both for ILS and ELS patients. (6.6 ± 1.5 vs 9.1 ± 3.2 days, P = 0.001) (7.2 ± 0.84 vs 9.2 ± 3.2 days, p = 0.002

Vu et al. [29]

2008

36 (V:12, T:24)

CCAM

Patients in the VATS group had significantly longer operative time (mean difference of 61.3 min; 95% confidence interval [CI], 30.5–92.1) but shorter postoperative hospital stay (mean difference of 5.7 days; 95% CI, 0.9–10.4) and duration of tube thoracostomy (mean difference of 2.6 days; 95% CI, 0.7–4.5)

Makhija Z. el al [30].

2011

102 (V:70, T:21, Others:11*)

Congenital cystic lung malformations

There isn’t any comparison between VATS and thoracotomy in this study, but it was reported that pneumonia and bronchogenic cysts predictors of the need for a more extensive pulmonary resection.

Current study

 

94 (V:26, T:67, M: 1)

Congenital lung malformations

No significant differences between VATS and thoracotomy group in terms of mean postoperative length of hospital stay, drainage duration and perioperative complications (6.04 vs 5.74 days, p = 0.706) (5.38 vs 5.12 days, p = 0.717) (% 19.2 vs % 12.3, p = 0.343)

  1. V: VATS, T: Thoracotomy, M: Mediastinoscopy, MBC: Mediastinal bronchogenic cyst, CCAM: Congenital cystic adenoid malformation ILS: Intralober sequestration, ELC: Extralober sequestration
  2. *Sternotomy: 5, Mediastinoscopy: 4, laparoscopy: 1 and cervical: 1