{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:07:31Z","timestamp":1777921651702,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"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":[[2024,3,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      Ventilating a pediatric patient during thoracoscopy is challenging. Few studies have highlighted the impact of capnothorax in children by measuring regional cerebral oxygen saturation (rcSO\n                      <jats:sub>2<\/jats:sub>\n                      ) with near infrared spectroscopy. In this systematic review, we aimed to summarize the data from relevant studies and assess whether thoracoscopy in children is associated with intraoperative pathological cerebral desaturation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      The authors systematically searched four databases for relevant studies on the measurement of rcSO\n                      <jats:sub>2<\/jats:sub>\n                      during pediatric thoracoscopic procedures. The primary outcome was the proportion of patients with pathological desaturation, that is, &gt;20% decline in the intraoperative rcSO\n                      <jats:sub>2<\/jats:sub>\n                      . Risk of bias among the included studies was estimated using the Newcastle\u2013Ottawa scale.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The systematic search resulted in 776 articles, of which 7 studies were included in the analysis. In total, 88 patients (99 procedures) with an age ranging from 0 days to 8.1 years were included. Of these, 43 (49%) patients were neonates. The included cohort had esophageal atresia and tracheoesophageal fistula (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200926), long-gap esophageal atresia (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20095), congenital diaphragmatic hernia (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200914), and congenital pulmonary airway malformations and other conditions needing lung resection (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200943). Of the total 99 procedures, pathological desaturation was noticed in 13 (13.1%, 95% confidence interval 7.2\u201321.4) of them. Upon quality assessment, most of the studies were weaker in the selection and comparability domains.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>\n                      In this review, pathological cerebral desaturation was noticed in 13.1% of the pediatric thoracoscopic procedures. However, due to limited methodological quality of the included studies, further randomized multicentric studies comparing rcSO\n                      <jats:sub>2<\/jats:sub>\n                      in open versus thoracoscopic surgeries are needed to derive definitive conclusions.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2023.0228","type":"journal-article","created":{"date-parts":[[2023,10,20]],"date-time":"2023-10-20T14:45:36Z","timestamp":1697813136000},"page":"274-279","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Intraoperative Regional Cerebral Oxygenation During Pediatric Thoracoscopic Surgery: A Systematic Review"],"prefix":"10.1177","volume":"34","author":[{"given":"Gaurav","family":"Prasad","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Apoorv","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepika","family":"Kainth","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Puneet","family":"Khanna","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, All India Institute of Medical Sciences, New Delhi, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0447-2350","authenticated-orcid":false,"given":"Sachit","family":"Anand","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,3,1]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2014.11.006"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2009.0083"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2009.10.072"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31828fab55"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2010.09.062"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/pan.13161"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-022-05102-5"},{"key":"e_1_3_5_9_2","unstructured":"Wells G Shea B O'Connell D et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality if nonrandomized studies in meta-analyses. Available from: www.ohri.ca\/programs\/clinical_epidemiology\/oxford.htm [Last accessed: March13 2023]."},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2022.0241"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-015-4559-1"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-016-3853-y"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1615277"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2021.0177"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-014-3618-3"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00104-009-1847-0"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1052397"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpn.2008.02.012"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-013-2927-2"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2010.03384.x"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-0973"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(97)70074-6"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.1159\/000444210"},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-014-4009-5"}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lap.2023.0228","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2023.0228","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2023.0228","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:58:38Z","timestamp":1777665518000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lap.2023.0228"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,1]]},"references-count":23,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3,1]]}},"alternative-id":["10.1089\/lap.2023.0228"],"URL":"https:\/\/doi.org\/10.1089\/lap.2023.0228","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,1]]}}}