{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T05:28:18Z","timestamp":1792301298618,"version":"4.4.0"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,11,3]],"date-time":"2020-11-03T00:00:00Z","timestamp":1604361600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Our aim is to compare thoracoscopy to thoracotomy in the treatment of congenital lung malformations (CLM) in children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>We report a retrospective monocentric cohort study. Patients treated at our Center for CLM (1991\u20132020) were divided in two groups: patients treated with video\u2010assisted thoracoscopic surgery (VATS) and open thoracotomy (OT). Characteristics of the two groups were compared through statistical analysis (GraphPad Prism7). A <jats:italic>p<\/jats:italic> value less than .05 was considered statistically significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred six patients were included: 58 in VATS group, 48 in OT group. Prenatal diagnosis was possible in 73.6%. The most frequent surgical procedures were lobectomy (43.4%) and sequestrectomy (22.6%). All VATS patients underwent lung exclusion, mostly by endobronchial blocker (69%). Mean operative time was 146.1\u2009min (\u00b152.04 <jats:italic>SD<\/jats:italic>) in VATS and 159.2 (\u00b146.53 <jats:italic>SD<\/jats:italic>) in OT (<jats:italic>p<\/jats:italic>\u2009=\u2009.1973). Conversion to OT was necessary in 20.6% of VATS patients, but decreased in the last 5 years (6.2%). There were not any intraoperative complication. Respectively in VATS and OT group, length of stay (LOS) was 4.5 days\u2009\u00b1\u20093.6 <jats:italic>SD<\/jats:italic> versus 7.7\u2009\u00b1\u20093.4 <jats:italic>SD<\/jats:italic> (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.0001), chest tube duration 2.8 days\u2009\u00b1\u20093.4 <jats:italic>SD<\/jats:italic> versus 3.7\u2009\u00b1\u20092.4 <jats:italic>SD<\/jats:italic> (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.0001), antibiotic treatment duration 3.7 days\u2009\u00b1\u20094.7 <jats:italic>SD<\/jats:italic> versus 5\u2009\u00b1\u20092.6 <jats:italic>SD<\/jats:italic> (<jats:italic>p<\/jats:italic>\u2009=\u2009.1196). Postoperative complications were described in 22.6%. The commonest histological diagnosis (40.6%) was congenital pulmonary airway malformation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>VATS resulted a feasible, effective and safe technique. Operative time and postoperative complications were similar in VATS and OT groups. VATS conversion rate decreased in time. VATS had a statistically significant shorter LOS and chest tube duration.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ppul.25138","type":"journal-article","created":{"date-parts":[[2020,10,28]],"date-time":"2020-10-28T09:25:03Z","timestamp":1603877103000},"page":"196-202","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Thoracoscopy versus thoracotomy for congenital lung malformations treatment: A single center experience"],"prefix":"10.1002","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7972-820X","authenticated-orcid":false,"given":"Alba","family":"Ganarin","sequence":"first","affiliation":[{"name":"Pediatric Surgery Unit, Department of Women's and Children's Health University Hospital of Padova  Padova Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Sgr\u00f2","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Department of Women's and Children's Health University Hospital of Padova  Padova Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"Garcia Magne","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Department of Women's and Children's Health University Hospital of Padova  Padova Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Volpe","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Department of Women's and Children's Health University Hospital of Padova  Padova Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Costanza","family":"Tognon","sequence":"additional","affiliation":[{"name":"Pediatric Anesthesiology Unit, Department of Surgery University Hospital of Padova  Padova Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piergiorgio","family":"Gamba","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Department of Women's and Children's Health University Hospital of Padova  Padova Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,11,3]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1806-37132011000200017"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-017-4098-z"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1604020"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-017-4079-2"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2015.11.022"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2012.01.036"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2016.11.014"},{"issue":"1","key":"e_1_2_8_9_1","article-title":"The Different approaches of single lung ventilation in infants with pulmonary malformation","volume":"4","author":"Tognon 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