Medium-Term Pulmonary Function Test After Thoracoscopic Lobectomy and Segmentectomy for Congenital Lung Malformation: A Comparative Study With Normal Control
Purpose: This study aimed to compare the outcomes and pulmonary function test (PFT) of thoracoscopic segmentectomy and lobectomy in infants with congenital lung malformation and study the result of PFT on a medium-term basis.Methods: The clinical data of 19 infants with congenital lung malformation...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2021-10-01
|
| Series: | Frontiers in Pediatrics |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2021.755328/full |
| _version_ | 1819010693015273472 |
|---|---|
| author | Jin-Xi Huang Jin-Xi Huang Jin-Xi Huang Jin-Xi Huang Song-Ming Hong Song-Ming Hong Song-Ming Hong Song-Ming Hong Jun-Jie Hong Jun-Jie Hong Jun-Jie Hong Jun-Jie Hong Qiang Chen Qiang Chen Qiang Chen Qiang Chen Hua Cao Hua Cao Hua Cao Hua Cao |
| author_facet | Jin-Xi Huang Jin-Xi Huang Jin-Xi Huang Jin-Xi Huang Song-Ming Hong Song-Ming Hong Song-Ming Hong Song-Ming Hong Jun-Jie Hong Jun-Jie Hong Jun-Jie Hong Jun-Jie Hong Qiang Chen Qiang Chen Qiang Chen Qiang Chen Hua Cao Hua Cao Hua Cao Hua Cao |
| author_sort | Jin-Xi Huang |
| collection | DOAJ |
| description | Purpose: This study aimed to compare the outcomes and pulmonary function test (PFT) of thoracoscopic segmentectomy and lobectomy in infants with congenital lung malformation and study the result of PFT on a medium-term basis.Methods: The clinical data of 19 infants with congenital lung malformation who underwent thoracoscopic surgery in our hospital from January 2018 to March 2019 were retrospectively studied; these infants were paired with another 19 infants who underwent thoracoscopic lobectomy during the same period using propensity score matching. Age-matched healthy individuals with similar body sizes were recruited for PFT as the control group. Patient characteristics, postoperative PFT, and outcomes were extracted for statistical analysis.Results: The average length of hospital stay did not significantly differ between segmentectomy and lobectomy groups. The segmentectomy group had more chest tube drainage than the lobectomy group. PFT 1 month after the operation showed that the tidal volume of the lobectomy group was lower than that of the segmentectomy group. Time to peak expiratory flow/time of expiration and peak flow/terminal airway velocity (V25%) indicated small airway dysfunction in the lobectomy group, and no obvious abnormalities were found in “time of inspiratory/time of expiration” in either group. Reexamination of pulmonary function 2 years after the operation showed that the small airway function of the segmentectomy group returned to normal, and no significant difference in pulmonary function was noted among the three groups.Conclusion: The short-term pulmonary function recovery was better after segmentectomy than after lobectomy. Patients who underwent thoracoscopic lobectomy and segmentectomy have normal lung function 2 years after the operation. |
| first_indexed | 2024-12-21T01:16:19Z |
| format | Article |
| id | doaj.art-42c03b95917f40f3ab604b38fc0b99d4 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-12-21T01:16:19Z |
| publishDate | 2021-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-42c03b95917f40f3ab604b38fc0b99d42022-12-21T19:20:46ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602021-10-01910.3389/fped.2021.755328755328Medium-Term Pulmonary Function Test After Thoracoscopic Lobectomy and Segmentectomy for Congenital Lung Malformation: A Comparative Study With Normal ControlJin-Xi Huang0Jin-Xi Huang1Jin-Xi Huang2Jin-Xi Huang3Song-Ming Hong4Song-Ming Hong5Song-Ming Hong6Song-Ming Hong7Jun-Jie Hong8Jun-Jie Hong9Jun-Jie Hong10Jun-Jie Hong11Qiang Chen12Qiang Chen13Qiang Chen14Qiang Chen15Hua Cao16Hua Cao17Hua Cao18Hua Cao19Department of Cardiothoracic Surgery, Fujian Branch of Shanghai Children's Medical Center, Fuzhou, ChinaFujian Children's Hospital, Fuzhou, ChinaFujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, ChinaFujian Key Laboratory of Women and Children's Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, ChinaDepartment of Cardiothoracic Surgery, Fujian Branch of Shanghai Children's Medical Center, Fuzhou, ChinaFujian Children's Hospital, Fuzhou, ChinaFujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, ChinaFujian Key Laboratory of Women and Children's Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, ChinaDepartment of Cardiothoracic Surgery, Fujian Branch of Shanghai Children's Medical Center, Fuzhou, ChinaFujian Children's Hospital, Fuzhou, ChinaFujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, ChinaFujian Key Laboratory of Women and Children's Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, ChinaDepartment of Cardiothoracic Surgery, Fujian Branch of Shanghai Children's Medical Center, Fuzhou, ChinaFujian Children's Hospital, Fuzhou, ChinaFujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, ChinaFujian Key Laboratory of Women and Children's Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, ChinaDepartment of Cardiothoracic Surgery, Fujian Branch of Shanghai Children's Medical Center, Fuzhou, ChinaFujian Children's Hospital, Fuzhou, ChinaFujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, ChinaFujian Key Laboratory of Women and Children's Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, ChinaPurpose: This study aimed to compare the outcomes and pulmonary function test (PFT) of thoracoscopic segmentectomy and lobectomy in infants with congenital lung malformation and study the result of PFT on a medium-term basis.Methods: The clinical data of 19 infants with congenital lung malformation who underwent thoracoscopic surgery in our hospital from January 2018 to March 2019 were retrospectively studied; these infants were paired with another 19 infants who underwent thoracoscopic lobectomy during the same period using propensity score matching. Age-matched healthy individuals with similar body sizes were recruited for PFT as the control group. Patient characteristics, postoperative PFT, and outcomes were extracted for statistical analysis.Results: The average length of hospital stay did not significantly differ between segmentectomy and lobectomy groups. The segmentectomy group had more chest tube drainage than the lobectomy group. PFT 1 month after the operation showed that the tidal volume of the lobectomy group was lower than that of the segmentectomy group. Time to peak expiratory flow/time of expiration and peak flow/terminal airway velocity (V25%) indicated small airway dysfunction in the lobectomy group, and no obvious abnormalities were found in “time of inspiratory/time of expiration” in either group. Reexamination of pulmonary function 2 years after the operation showed that the small airway function of the segmentectomy group returned to normal, and no significant difference in pulmonary function was noted among the three groups.Conclusion: The short-term pulmonary function recovery was better after segmentectomy than after lobectomy. Patients who underwent thoracoscopic lobectomy and segmentectomy have normal lung function 2 years after the operation.https://www.frontiersin.org/articles/10.3389/fped.2021.755328/fullcongenital lung malformationsegmentectomylobectomypulmonary function testthoracoscopy |
| spellingShingle | Jin-Xi Huang Jin-Xi Huang Jin-Xi Huang Jin-Xi Huang Song-Ming Hong Song-Ming Hong Song-Ming Hong Song-Ming Hong Jun-Jie Hong Jun-Jie Hong Jun-Jie Hong Jun-Jie Hong Qiang Chen Qiang Chen Qiang Chen Qiang Chen Hua Cao Hua Cao Hua Cao Hua Cao Medium-Term Pulmonary Function Test After Thoracoscopic Lobectomy and Segmentectomy for Congenital Lung Malformation: A Comparative Study With Normal Control Frontiers in Pediatrics congenital lung malformation segmentectomy lobectomy pulmonary function test thoracoscopy |
| title | Medium-Term Pulmonary Function Test After Thoracoscopic Lobectomy and Segmentectomy for Congenital Lung Malformation: A Comparative Study With Normal Control |
| title_full | Medium-Term Pulmonary Function Test After Thoracoscopic Lobectomy and Segmentectomy for Congenital Lung Malformation: A Comparative Study With Normal Control |
| title_fullStr | Medium-Term Pulmonary Function Test After Thoracoscopic Lobectomy and Segmentectomy for Congenital Lung Malformation: A Comparative Study With Normal Control |
| title_full_unstemmed | Medium-Term Pulmonary Function Test After Thoracoscopic Lobectomy and Segmentectomy for Congenital Lung Malformation: A Comparative Study With Normal Control |
| title_short | Medium-Term Pulmonary Function Test After Thoracoscopic Lobectomy and Segmentectomy for Congenital Lung Malformation: A Comparative Study With Normal Control |
| title_sort | medium term pulmonary function test after thoracoscopic lobectomy and segmentectomy for congenital lung malformation a comparative study with normal control |
| topic | congenital lung malformation segmentectomy lobectomy pulmonary function test thoracoscopy |
| url | https://www.frontiersin.org/articles/10.3389/fped.2021.755328/full |
| work_keys_str_mv | AT jinxihuang mediumtermpulmonaryfunctiontestafterthoracoscopiclobectomyandsegmentectomyforcongenitallungmalformationacomparativestudywithnormalcontrol AT jinxihuang mediumtermpulmonaryfunctiontestafterthoracoscopiclobectomyandsegmentectomyforcongenitallungmalformationacomparativestudywithnormalcontrol AT jinxihuang mediumtermpulmonaryfunctiontestafterthoracoscopiclobectomyandsegmentectomyforcongenitallungmalformationacomparativestudywithnormalcontrol AT jinxihuang mediumtermpulmonaryfunctiontestafterthoracoscopiclobectomyandsegmentectomyforcongenitallungmalformationacomparativestudywithnormalcontrol AT songminghong mediumtermpulmonaryfunctiontestafterthoracoscopiclobectomyandsegmentectomyforcongenitallungmalformationacomparativestudywithnormalcontrol AT songminghong mediumtermpulmonaryfunctiontestafterthoracoscopiclobectomyandsegmentectomyforcongenitallungmalformationacomparativestudywithnormalcontrol AT songminghong mediumtermpulmonaryfunctiontestafterthoracoscopiclobectomyandsegmentectomyforcongenitallungmalformationacomparativestudywithnormalcontrol AT songminghong mediumtermpulmonaryfunctiontestafterthoracoscopiclobectomyandsegmentectomyforcongenitallungmalformationacomparativestudywithnormalcontrol AT junjiehong mediumtermpulmonaryfunctiontestafterthoracoscopiclobectomyandsegmentectomyforcongenitallungmalformationacomparativestudywithnormalcontrol AT junjiehong mediumtermpulmonaryfunctiontestafterthoracoscopiclobectomyandsegmentectomyforcongenitallungmalformationacomparativestudywithnormalcontrol AT junjiehong mediumtermpulmonaryfunctiontestafterthoracoscopiclobectomyandsegmentectomyforcongenitallungmalformationacomparativestudywithnormalcontrol AT junjiehong mediumtermpulmonaryfunctiontestafterthoracoscopiclobectomyandsegmentectomyforcongenitallungmalformationacomparativestudywithnormalcontrol AT qiangchen mediumtermpulmonaryfunctiontestafterthoracoscopiclobectomyandsegmentectomyforcongenitallungmalformationacomparativestudywithnormalcontrol AT qiangchen mediumtermpulmonaryfunctiontestafterthoracoscopiclobectomyandsegmentectomyforcongenitallungmalformationacomparativestudywithnormalcontrol AT qiangchen mediumtermpulmonaryfunctiontestafterthoracoscopiclobectomyandsegmentectomyforcongenitallungmalformationacomparativestudywithnormalcontrol AT qiangchen mediumtermpulmonaryfunctiontestafterthoracoscopiclobectomyandsegmentectomyforcongenitallungmalformationacomparativestudywithnormalcontrol AT huacao mediumtermpulmonaryfunctiontestafterthoracoscopiclobectomyandsegmentectomyforcongenitallungmalformationacomparativestudywithnormalcontrol AT huacao mediumtermpulmonaryfunctiontestafterthoracoscopiclobectomyandsegmentectomyforcongenitallungmalformationacomparativestudywithnormalcontrol AT huacao mediumtermpulmonaryfunctiontestafterthoracoscopiclobectomyandsegmentectomyforcongenitallungmalformationacomparativestudywithnormalcontrol AT huacao mediumtermpulmonaryfunctiontestafterthoracoscopiclobectomyandsegmentectomyforcongenitallungmalformationacomparativestudywithnormalcontrol |