{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T18:42:55Z","timestamp":1790188975843,"version":"4.1.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,3,1]],"date-time":"2021-03-01T00:00:00Z","timestamp":1614556800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2021,3,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>This study aimed to report a European multi-institutional experience about thoracoscopic management of children with congenital lung malformations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      The records of 102 patients (49 girls and 53 boys) with median age at surgery of 1 year (range 6 months\u20131.5 years), who underwent thoracoscopic lobectomy in five European Pediatric Surgery units, were retrospectively collected. Indications for surgery included congenital pulmonary airway malformation (CPAM) (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200947), intra- and extralobar pulmonary sequestration (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200934), hybrid lesion (CPAM\/intralobar sequestration) (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20092), severe bronchiectasis (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20099), congenital lobar emphysema (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20098), and others (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20092). The condition was asymptomatic in 77\/102 (75.5%), whereas symptoms such as recurrent pneumonia and\/or respiratory distress were present in 25\/102 (24.5%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Surgical procedures included 18 upper, 20 middle, and 64 lower lobe resections. No conversions to open were reported. A 3\u2009mm sealing device and 5\u2009mm stapler were adopted in the last 48\/102 patients (47%). The median operative time was 92.2 minutes (range 74\u2013141). The median operative time significantly decreased in patients in whom the vessel division and bronchial sealing were performed using sealing devices (75.5 minutes) compared with suture ligations (118.9 minutes) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.001). The median hospital stay was 3.7 days (range 2\u20136.2). Three\/102 patients (2.9%) developed postoperative complications, including air leakage requiring pleural drainage (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20091) (Clavien IIIb) and respiratory infection (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20092) (Clavien II). A reoperation was required in one patient with residual pleuropulmonary blastoma (0.9%). All symptomatic patients reported resolution of symptoms postoperatively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Thoracoscopic lobectomy is a safe and effective procedure with excellent cosmetic outcome, in expert hands. Based upon our experience, we strongly recommend surgery in patients with congenital lung malformations by the first year of life, to reduce the risk of infection and make the procedure technically easier, despite the small patients' size. Surgeon's experience and use of miniaturized instruments and sealing devices remain key factors for successful outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2020.0596","type":"journal-article","created":{"date-parts":[[2021,1,11]],"date-time":"2021-01-11T18:35:38Z","timestamp":1610390138000},"page":"355-362","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":37,"title":["Thoracoscopic Management of Pediatric Patients with Congenital Lung Malformations: Results of a European Multicenter Survey"],"prefix":"10.1177","volume":"31","author":[{"given":"Ciro","family":"Esposito","sequence":"first","affiliation":[{"name":"Pediatric Surgery Unit, \u201cFederico II\u201d University of Naples, Naples, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnaud","family":"Bonnard","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Robert Debr\u00e8 Hospital, Paris, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holger","family":"Till","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Medical University of Graz, Graz, Austria."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ernesto","family":"Leva","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Fondazione IRCCS Ca' Grande Ospedale Maggiore Policlinico, Milan, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naziha","family":"Khen-Dunlop","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Necker Enfants Malades Hospital, Paris, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Zanini","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Fondazione IRCCS Ca' Grande Ospedale Maggiore Policlinico, Milan, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Montalva","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Robert Debr\u00e8 Hospital, Paris, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabine","family":"Sarnacki","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Necker Enfants Malades Hospital, Paris, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Escolino","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, \u201cFederico II\u201d University of Naples, Naples, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,3,5]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(98)70183-8"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2008.10.118"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2017.08.003"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-004-1225-4"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-016-4052-5"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2011.08.002"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2005.12.060"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.pas.0000249444.90594.27"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2007.02.003"},{"key":"e_1_3_3_11_2","first-page":"91","article-title":"Clinical features of congenital cystic lung diseases: A report of a nationwide multicenter study in Japan","volume":"26","author":"Kuroda T","year":"2016","unstructured":"Kuroda T, , Nishijima E, , Maeda K, , Fuchimoto Y, , Hirobe S, , Tazuke Y, , Nozawa K, , Matsuoka K, , Usui N. 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