2007, Number 3
Rev Mex Cir Pediatr 2007; 14 (3)
Paulo Gutiérrez-Torres, Daniel Hernández-Arrazola, Carlos Calderón-Elvir, José Ruano-Aguilar, Jaime Shalkow
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ABSTRACTIntroduction: Minimally Invasive Surgery (MSI) has gained acceptance for the diagnosis andtreatment of pediatric oncology patients. We are evaluating the use of thoracoscopy in children with malignancies at a single institution.
Methods: A prospective review was made of all thoracoscopic procedures performed between march and April 2006.
Results: Seven patients underwent thoracoscopy. There were no operative or postoperative complications. Two cases were converted to open thoracotomy due to inability to define the lesions; Indications for thoracoscopy included excisional biopsy of pulmonary nodules, or resection of pulmonary metastasis. The chest tube was removed on postoperative day two in all patients, no trocar site recurrences or infections were observed. The patients were discharged on postoperative day 4 - 5.
Conclusions: We conclude that thoracoscopy in pediatric cancer patients is a safe and effective diagnostic and therapeutic modality. The role of thoracoscopy for resection of osteosarcoma lung metastasis remains to be defined.