دورية أكاديمية
Video-assisted thoracoscopy as an option in the surgical treatment of chylothorax after cardiac surgery in children.
| العنوان: | Video-assisted thoracoscopy as an option in the surgical treatment of chylothorax after cardiac surgery in children. |
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| المؤلفون: | Pego-Fernandes PM; Department of Cardiorespiratory Diseases, University of São Paulo School of Medicine, São Paulo, Brazil. paulo.fernandes@incor.usp.br, Nascimbem MB, Ranzani OT, Shimoda MS, Monteiro R, Jatene FB |
| المصدر: | Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia [J Bras Pneumol] 2011 Jan-Feb; Vol. 37 (1), pp. 28-35. |
| نوع المنشور: | Journal Article |
| اللغة: | English; Portuguese |
| بيانات الدورية: | Publisher: Sociedade Brasileira de Pneumologia e Tisilogia Country of Publication: Brazil NLM ID: 101222274 Publication Model: Print Cited Medium: Internet ISSN: 1806-3756 (Electronic) Linking ISSN: 18063713 NLM ISO Abbreviation: J Bras Pneumol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Brasilia, DF, Brasil : Sociedade Brasileira de Pneumologia e Tisilogia, [2004]- |
| مواضيع طبية MeSH: | Chylothorax/*surgery , Postoperative Complications/*surgery , Thoracic Surgery, Video-Assisted/*methods, Cardiac Surgical Procedures/adverse effects ; Child ; Child, Preschool ; Chylothorax/diagnosis ; Chylothorax/etiology ; Female ; Humans ; Infant ; Infant, Newborn ; Male ; Postoperative Complications/etiology ; Retrospective Studies |
| مستخلص: | Objective: To evaluate the use of video-assisted thoracoscopy in the surgical treatment of chylothorax developed after the surgical correction of congenital heart disease in children. Methods: We reviewed the medical charts of 3,092 children who underwent surgery for congenital heart disease between February of 2002 and February of 2007 at the Heart Institute of the University of São Paulo School of Medicine Hospital das Clínicas, in São Paulo, Brazil. Results: Of the 3,092 children, 64 (2.2%) presented with chylothorax as a postoperative complication. In 50 (78.1%) of those patients, the clinical management was successful, whereas it failed in 14 (21.9%), all of whom were then submitted to thoracic duct ligation by video-assisted thoracoscopy. The thoracic duct ligation was successful in 12 patients (86%) but failed in 2. In the postoperative period, additional clinical measures, such as a low-fat diet and parenteral nutrition, were required in order to resolve those 2 cases. There was no surgical morbidity or mortality. Of the 14 patients who underwent thoracic duct ligation, 5 (35%) died due to cardiac or infectious complications. Conclusions: Video-assisted thoracic duct ligation can be safely performed in patients with severe heart disease, and the outcomes are favorable. |
| تواريخ الأحداث: | Date Created: 20110311 Date Completed: 20111110 Latest Revision: 20190608 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1590/s1806-37132011000100006 |
| PMID: | 21390429 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1806-3756 |
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| DOI: | 10.1590/s1806-37132011000100006 |