{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T17:09:21Z","timestamp":1793725761427,"version":"4.6.1"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Padiatr"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The management of congenital lung malformations (CLM) remains controversial.\n                        The aim of this study was to analyze the timing, approach, and outcomes of\n                        surgical treatment in children with CLM.<\/jats:p>\n                  <jats:p>A cohort study was conducted comparing children with CLM who underwent\n                        thoracoscopic resection with open resection via thoracotomy. All children\n                        were treated according to an institutionalized multidisciplinary coordinated\n                        treatment algorithm.<\/jats:p>\n                  <jats:p>Between 2002 and 2019, 68 children with CLM were treated. Thoracoscopic\n                        resection of CLM (n=44) resulted in a statistically significant longer\n                        operative time (mean 169 vs. 97\u2009minutes, p=0.04) but shorter hospital stay\n                        (mean 7.2 vs. 16.7\/12 days, p=0.01) compared to thoracotomy (n=15) or after\n                        conversion to thoracotomy (n=9). There were no major complications in either\n                        group. At a mean follow-up of 32.2 months (range 0.5\u2013163), patients after\n                        thoracoscopic resection had statistically significantly fewer rip fusions\n                        than patients after open resection (n=0 vs. 2\/2, p\u22640.004) and less chest\n                        wall asymmetry than after conversion (n=0 vs. 2, p=0.004).<\/jats:p>\n                  <jats:p>Thoracotomy proved to be a fast and safe surgical approach in respiratory\n                        unstable CLM patients. In respiratory stable CLM patients, thoracoscopic\n                        resection was feasible in early infancy with good surgical and\n                        musculoskeletal outcomes.<\/jats:p>\n                  <jats:p>Thoracoscopic resection of CLM offers advantages over resection by\n                        thoracotomy in terms of surgical recovery and musculoskeletal function.\n                        Therefore, it should be offered to respiratory-stable patients in\n                        specialized centers.<\/jats:p>","DOI":"10.1055\/a-2518-5261","type":"journal-article","created":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T20:40:52Z","timestamp":1738960852000},"page":"311-317","source":"Crossref","is-referenced-by-count":3,"title":["Congenital Lung Malformations: Outcomes after Minimally Invasive and\n                    Open Surgery in Infancy"],"prefix":"10.1055","volume":"237","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1025-3496","authenticated-orcid":false,"given":"Benjamin Friedrich Berthold","family":"Mayer","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Kinderchirurgie und Kinderurologie, Universit\u00e4tsklinikum\n                    T\u00fcbingen, Klinik f\u00fcr Kinder- und Jugendmedizin, T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leon Ole","family":"Sch\u00f6neberg","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Kinderchirurgie und Kinderurologie, Universit\u00e4tsklinikum\n                    T\u00fcbingen, Klinik f\u00fcr Kinder- und Jugendmedizin, T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias Christian","family":"Schunn","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Kinderchirurgie und Kinderurologie, Universit\u00e4tsklinikum\n                    T\u00fcbingen, Klinik f\u00fcr Kinder- und Jugendmedizin, T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karl Oliver","family":"Kagan","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsfrauenklinik, Sektion Pr\u00e4nataldiagnostik,\n                    Universit\u00e4tsklinikum T\u00fcbingen, T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00fcrgen","family":"Sch\u00e4fer","sequence":"additional","affiliation":[{"name":"Radiologische Universit\u00e4tsklinik, Sektion Kinderradiologie,\n                    Universit\u00e4tsklinikum T\u00fcbingen, T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felix","family":"Neunhoeffer","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Kinderkardiologie, Intensivmedizin und Pulmologie,\n                    Universit\u00e4tsklinikum T\u00fcbingen Klinik f\u00fcr Kinder- und Jugendmedizin, T\u00fcbingen,\n                    Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Winfried","family":"Baden","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Kinderkardiologie, Intensivmedizin und Pulmologie,\n                    Universit\u00e4tsklinikum T\u00fcbingen Klinik f\u00fcr Kinder- und Jugendmedizin, T\u00fcbingen,\n                    Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Fideler","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr An\u00e4sthesiologie und Intensivmedizin, Sektion\n                    Kinderan\u00e4sthesie, Universit\u00e4tsklinikum T\u00fcbingen, T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans Joachim","family":"Kirschner","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Kinderchirurgie und Kinderurologie, Universit\u00e4tsklinikum\n                    T\u00fcbingen, Klinik f\u00fcr Kinder- und Jugendmedizin, T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justus","family":"Lieber","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Kinderchirurgie und Kinderurologie, Universit\u00e4tsklinikum\n                    T\u00fcbingen, Klinik f\u00fcr Kinder- und Jugendmedizin, T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg","family":"Fuchs","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Kinderchirurgie und Kinderurologie, Universit\u00e4tsklinikum\n                    T\u00fcbingen, Klinik f\u00fcr Kinder- und Jugendmedizin, T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,2,7]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1055\/s-0042-112683","article-title":"Angeborene pulmonale 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In: Mattioli G, Petralia P, Torre M, Hrsg.\n                    Pediatric Thoracic Surgery","author":"F Rizzo","year":"2021"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"1101","DOI":"10.1016\/j.jpedsurg.2015.12.004","article-title":"Thoracoscopic Vs open resection of congenital cystic lung disease- utilization\n                    and outcomes in 1120 children in the United States","volume":"51","author":"S F Polites","year":"2016","journal-title":"Journal of Pediatric Surgery"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"2148","DOI":"10.1016\/j.jpedsurg.2021.04.013","article-title":"Thoracoscopic versus open lobectomy in infants with congenital lung\n                    malformations: A multi-institutional propensity score analysis","volume":"56","author":"J H Weller","year":"2021","journal-title":"Journal of Pediatric Surgery"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"1811","DOI":"10.1016\/j.jpedsurg.2015.05.015","article-title":"The 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P\u00e4diatrie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2518-5261.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T23:52:30Z","timestamp":1764373950000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2518-5261"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,7]]},"references-count":25,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2025,11,28]]},"published-print":{"date-parts":[[2025,11]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2518-5261","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0300-8630","1439-3824"],"issn-type":[{"value":"0300-8630","type":"print"},{"value":"1439-3824","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,7]]}}}