{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T21:59:36Z","timestamp":1747173576662,"version":"3.40.5"},"reference-count":20,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2020,8,5]],"date-time":"2020-08-05T00:00:00Z","timestamp":1596585600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951120002206_as1\"><jats:title>Background:<\/jats:title><jats:p>Patent ductus arteriosus closure is traditionally performed by thoracotomy approach. Video-assisted thoracoscopic surgery is a less frequently utilised alternative. We sought to compare elective surgical outcomes between the two methods via a single-centre retrospective cohort analysis.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951120002206_as2\"><jats:title>Methods:<\/jats:title><jats:p>All patients &gt;3.2 kg undergoing surgical patent ductus arteriosus ligation at a single institution from 2000 to 2018 were retrospectively reviewed. Propensity matching for age, weight, diuretic usage, and preterm status was conducted to adjust for differences in baseline patient characteristics. Outcome measures included operative time, hospitalisation duration, post-operative complications, and re-operation.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951120002206_as3\"><jats:title>Results:<\/jats:title><jats:p>A total of 173 patients were included, 127 thoracoscopy and 46 thoracotomy. In the unmatched cohorts, no significant difference in closure success was found (94% thoracoscopy versus 100% thoracotomy, p = 0.192). Although median operative time was longer for thoracoscopy (87 versus 56 minutes, p &lt; 0.001), hospitalisation duration was shorter (1.05 versus 2.41 days, p &lt; 0.001), as was ICU stay (0.00 versus 0.75 days, p &lt; 0.001). There were no significant differences in re-operation or complication rates, except chest tube placement (11% thoracoscopy versus 50% thoracotomy, p &lt; 0.001). After matching (69 thoracoscopy versus 20 thoracotomy), these differences persisted, including median operative time (81 versus 56 minutes, p = 0.007; thoracoscopy versus thoracotomy), hospitalisation duration (1.25 versus 2.27 days, p &lt; 0.001), and chest tube placement (17% versus 60%, p &lt; 0.001). There remained no significant difference in complications or re-operations.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951120002206_as4\"><jats:title>Conclusions:<\/jats:title><jats:p>Thoracoscopic ligation was associated with shorter ICU and hospital stays and less frequent chest tube placement, but longer operative times. Other risks, including bleeding, chylothorax, and recurrent laryngeal nerve injury, were similar.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951120002206","type":"journal-article","created":{"date-parts":[[2020,8,5]],"date-time":"2020-08-05T03:54:22Z","timestamp":1596599662000},"page":"1433-1438","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of outcomes following thoracoscopic versus thoracotomy closure for persistent patent ductus arteriosus"],"prefix":"10.1017","volume":"30","author":[{"given":"Chen","family":"Wei","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Staffa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Zurakowski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Saleeb","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francis","family":"Fynn-Thompson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6048-2078","authenticated-orcid":false,"given":"Sitaram M.","family":"Emani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2020,8,5]]},"reference":[{"key":"S1047951120002206_ref18","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1536\/jhj.44.395","article-title":"Influence of ductal size on the results of transcatheter closure of patent ductus arteriosus with coils","volume":"44","author":"Fu","year":"2003","journal-title":"Jpn Heart J"},{"key":"S1047951120002206_ref14","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1016\/0003-4975(94)00996-1","article-title":"Safety of patent ductus arteriosus closure in premature infants without tube thoracostomy","volume":"59","author":"Miles","year":"1995","journal-title":"Ann Thorac Surg"},{"key":"S1047951120002206_ref15","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1016\/S0967-2109(98)00133-1","article-title":"Advantages of surgical closure of patent ductus arteriosus without tube thoracostomy","volume":"7","author":"Bolourian","year":"1999","journal-title":"Cardiovasc Surg"},{"key":"S1047951120002206_ref19","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1378\/chest.14-2997","article-title":"Treatment options for pediatric patent ductus arteriosus: systematic review and meta-analysis","volume":"148","author":"Lam","year":"2015","journal-title":"Chest"},{"key":"S1047951120002206_ref16","doi-asserted-by":"crossref","first-page":"1421","DOI":"10.1016\/S0003-4975(03)01035-X","article-title":"The modern approach to patent ductus arteriosus treatment: complementary roles of video-assisted thoracoscopic surgery and interventional cardiology coil occlusion","volume":"76","author":"Jacobs","year":"2003","journal-title":"Ann Thorac Surg"},{"key":"S1047951120002206_ref2","first-page":"1052","article-title":"Video-thoracoscopic surgical interruption of patent ductus arteriosus. 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Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons","volume":"52","author":"Warnes","year":"2008","journal-title":"J Am Coll Cardiol"},{"key":"S1047951120002206_ref5","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1016\/S0022-3468(98)90442-0","article-title":"Comparison of muscle-sparing thoracotomy and thoracoscopic ligation for the treatment of patent ductus arteriosus","volume":"33","author":"Kennedy","year":"1998","journal-title":"J Pediatr Surg"},{"key":"S1047951120002206_ref3","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1016\/j.ejcts.2003.12.023","article-title":"Paediatric video-assisted thoracoscopic clipping of patent ductus arteriosus: experience in more than 700 cases","volume":"25","author":"Villa","year":"2004","journal-title":"Eur J Cardiothorac Surg"},{"key":"S1047951120002206_ref9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jss.2016.08.097","article-title":"Minimally invasive thoracoscopic closure vs. thoracotomy in children with patent ductus arteriosus","volume":"208","author":"Stankowski","year":"2017","journal-title":"J Surg Res"},{"key":"S1047951120002206_ref17","doi-asserted-by":"crossref","first-page":"2607","DOI":"10.1161\/CIR.0b013e31821b1f10","article-title":"Indications for cardiac catheterization and intervention in pediatric cardiac disease: a scientific statement from the American Heart Association","volume":"123","author":"Feltes","year":"2011","journal-title":"Circulation"},{"key":"S1047951120002206_ref20","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1007\/s00246-011-0130-6","article-title":"Comparison of long-term clinical outcomes and costs between video-assisted thoracoscopic surgery and transcatheter amplatzer occlusion of the patent ductus arteriosus","volume":"33","author":"Chen","year":"2012","journal-title":"Pediatr Cardiol"},{"key":"S1047951120002206_ref12","doi-asserted-by":"crossref","first-page":"1825","DOI":"10.1016\/j.jtcvs.2017.11.079","article-title":"Learning curve of image-guided video-assisted thoracoscopic surgery for small pulmonary nodules: a prospective analysis of 30 initial patients","volume":"155","author":"Hsieh","year":"2018","journal-title":"J Thorac Cardiovasc Surg"},{"key":"S1047951120002206_ref8","first-page":"1068","article-title":"Video-assisted thoracoscopic vs. open surgery for persistent ductus arteriosus: Report of 10 years\u2019 experience","volume":"10","author":"Esfahanizadeh","year":"2013","journal-title":"Life Sci J"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951120002206","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,10,15]],"date-time":"2020-10-15T05:22:51Z","timestamp":1602739371000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951120002206\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,5]]},"references-count":20,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2020,10]]}},"alternative-id":["S1047951120002206"],"URL":"https:\/\/doi.org\/10.1017\/s1047951120002206","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"type":"print","value":"1047-9511"},{"type":"electronic","value":"1467-1107"}],"subject":[],"published":{"date-parts":[[2020,8,5]]}}}