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Thoracoscopy in Children and Adolescents

Jose Ribas Milanez de Campos; Laert Oliveira Andrade Filho; Eduardo Campos Werebe; Helio Minamoto; Andrea Oliveira Quim; Luiz Tarcisio Brito Filomeno; Fabio Biscegli Jatene
Author and Funding Information

From the Department of Thoracic Surgery, University of São Paulo Medical School, São Paulo, Brazil


1997 by the American College of Chest Physicians


Chest. 1997;111(2):494-497. doi:10.1378/chest.111.2.494
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Published online

Abstract

Study objectives: Present the feature characteristics of the use and findings of thoracoscopy in children and adolescents.

Design: From February 1983 to February 1996, 77 thoracoscopic procedures were done on patients ranging in ages from 5 months to 18 years (mean, 9.8 years). Two-thirds (66.2%) were male. They were divided into three groups (1, 2, and 3) based on age (up to 2, from 2 to 8, and older than 8 years), predominance of certain diseases in these ages, and the size of the instruments utilized. They were operated on using general anesthesia with Carlens' mediastinoscope routinely used in 64 (83%) and videothoracoscopy in 13 (17%). The chief indication for therapeutic thoracoscopy was treatment of empyema, while for diagnostic thoracoscopy it was pleural biopsy and diagnosis of pleural effusions.

Results: In group 1, thoracoscopy was solely for the treatment of pleural disorders. In group 2, it was for the treatment of pleuropulmonary diseases. Group 3 behaved almost like adults, with broad diagnostic and therapeutic indications for thoracoscopic procedure.

Conclusions: Thoracoscopy, which is a useful diagnostic and therapeutic procedure, has secured an important place in pediatric surgical practice.


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