{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T19:29:34Z","timestamp":1792006174518,"version":"4.4.0"},"reference-count":24,"publisher":"MDPI AG","issue":"23","license":[{"start":{"date-parts":[[2024,11,28]],"date-time":"2024-11-28T00:00:00Z","timestamp":1732752000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Although general thoracic surgery is usually focused on adult patients, there are some settings of pediatric diseases which can benefit from thoracic surgical procedures. In this study, we retrospectively reviewed the contribution of general thoracic surgeons to pediatric patients in a high-volume hospital. Methods: From September 2002 to August 2024, 8897 consecutive patients were operated on; among them, 202 patients (2.2%) were younger than 18. Age, sex, operatory setting, side, indications, procedures, procedure duration, and perioperative mortality were collected for each patient. Results: Among the 202 patients younger than 18, 27 (13.3%) were 0\u20136 yo; 13 (6.4%) were 6\u201312 yo; 162 (80.1%) were 12\u201318 yo. In the first group, metapneumonic pleural effusion was the most frequent indication (44.4%) and chest drain the most frequent procedure (51.8%). No perioperative mortality was reported. In the second group, metapneumonic pleural effusion was the most frequent indication (30.7%) and chest drain the most frequent procedure (46.1%). No perioperative mortality was reported. In the third group, pneumothorax was the most frequent indication (41.3%) and bullectomy the most frequent procedure; (41.3%); one intraoperative death (0.4%) was reported in a case of major trauma. Conclusions: A general thoracic surgeon can effectively contribute to the surgical care of pediatric patients; in younger patients (&lt;12 yo) urgent procedures related to infections are the most commonly performed; on the other hand, in patients aged between 12 and 18, elective procedures are more commonly performed, these being sympathectomy for hyperhidrosis and bullectomy for pneumothorax the most frequent.<\/jats:p>","DOI":"10.3390\/jcm13237231","type":"journal-article","created":{"date-parts":[[2024,11,28]],"date-time":"2024-11-28T07:28:01Z","timestamp":1732778881000},"page":"7231","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Is There a Pediatric Role for the General Thoracic Surgeon in a General Hospital? A 22-Year Single-Center Experience"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5945-1576","authenticated-orcid":false,"given":"Francesco","family":"Petrella","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Fondazione IRCCS San Gerardo Dei Tintori, 20900 Monza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6228-7165","authenticated-orcid":false,"given":"Sara","family":"Degiovanni","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Fondazione IRCCS San Gerardo Dei Tintori, 20900 Monza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Raveglia","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Fondazione IRCCS San Gerardo Dei Tintori, 20900 Monza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6314-8518","authenticated-orcid":false,"given":"Andrea","family":"Cara","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Fondazione IRCCS San Gerardo Dei Tintori, 20900 Monza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrico Mario","family":"Cassina","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Fondazione IRCCS San Gerardo Dei Tintori, 20900 Monza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1825-3527","authenticated-orcid":false,"given":"Francesca","family":"Graziano","sequence":"additional","affiliation":[{"name":"Biostatistics and Clinical Epidemiology, Fondazione IRCCS San Gerardo Dei Tintori, 20900 Monza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lidia","family":"Libretti","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Fondazione IRCCS San Gerardo Dei Tintori, 20900 Monza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuele","family":"Pirondini","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Fondazione IRCCS San Gerardo Dei Tintori, 20900 Monza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Vaquer","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Fondazione IRCCS San Gerardo Dei Tintori, 20900 Monza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Tuoro","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Fondazione IRCCS San Gerardo Dei Tintori, 20900 Monza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Foti","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, University of Milano-Bicocca, 20126 Monza, Italy"},{"name":"Department of Emergency and Intensive Care, Fondazione IRCCS San Gerardo Dei Tintori, 20900 Monza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Moretto","sequence":"additional","affiliation":[{"name":"Department of Emergency and Intensive Care, Fondazione IRCCS San Gerardo Dei Tintori, 20900 Monza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6933-6723","authenticated-orcid":false,"given":"Alessandro","family":"Cattoni","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, University of Milano-Bicocca, 20126 Monza, Italy"},{"name":"Department of Pediatrics, Fondazione IRCCS San Gerardo Dei Tintori, 20900 Monza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6757-6173","authenticated-orcid":false,"given":"Andrea","family":"Biondi","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, University of Milano-Bicocca, 20126 Monza, Italy"},{"name":"Department of Pediatrics, Fondazione IRCCS San Gerardo Dei Tintori, 20900 Monza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriana","family":"Balduzzi","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, University of Milano-Bicocca, 20126 Monza, Italy"},{"name":"Department of Pediatrics, Fondazione IRCCS San Gerardo Dei Tintori, 20900 Monza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,11,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1056\/NEJMoa2212083","article-title":"Lobar or Sublobar Resection for Peripheral Stage IA Non\u2013Small-Cell Lung Cancer","volume":"388","author":"Altorki","year":"2023","journal-title":"N. 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