A comparative study of thoracoscopic and open surgery of congenital diaphragmatic hernia in neonates
Abstract Background An increasing number of hospitals have carried out neonatal thoracoscopic assisted repair of congenital diaphragmatic hernia (CDH). Methods The 26 cases received thoracoscopic-assisted repair (observation group) and 44 cases open repair (control group). General anesthesia was per...
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| Format: | Article |
| Language: | English |
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BMC
2019-06-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13019-019-0938-3 |
| _version_ | 1828821939358007296 |
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| author | Jing Qin Yongying Ren Deliang Ma |
| author_facet | Jing Qin Yongying Ren Deliang Ma |
| author_sort | Jing Qin |
| collection | DOAJ |
| description | Abstract Background An increasing number of hospitals have carried out neonatal thoracoscopic assisted repair of congenital diaphragmatic hernia (CDH). Methods The 26 cases received thoracoscopic-assisted repair (observation group) and 44 cases open repair (control group). General anesthesia was performed with endotracheal intubation using a trachea cannula without cuff. The general preoperative data, intraoperative hemodynamic parameters, intraoperative surgical conditions, postoperative complications, postoperative recovery condition, postoperative survival rate and recurrence rate were recorded. Results The intraoperative mean arterial pressure and heart rate at each time point in observation group were more stable and effective than those in control group (all P < 0.001). The number of manual ventilation, SpO2 < 90% and hypercapnia cases were significantly lower than those in control group (all P < 0.05). Intraoperative bleeding, incision length and operation duration were significantly lower in observation group compared with control group (all P < 0.001). No significant differences were seen between the two groups in postoperative complications including pulmonary infection, incision infection, pulmonary hypertension, hemorrhage, and scleredema (all P > 0.05). The duration of postoperative mechanical ventilation, antibiotic use and hospitalization in observation group was significantly shorter than those in control group (all P < 0.05). There was no significant difference in postoperative survival rate and recurrence rate between the two groups (both P > 0.05). Conclusion The intraoperative hemodynamic parameters of CDH repair under thoracoscopy were more stable, the duration of postoperative mechanical ventilation, antibiotic use and hospitalization were shortened, and the therapeutic effect was better. |
| first_indexed | 2024-12-12T13:04:31Z |
| format | Article |
| id | doaj.art-ab3f973a4fc747eaba03108546b3e301 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-12-12T13:04:31Z |
| publishDate | 2019-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-ab3f973a4fc747eaba03108546b3e3012022-12-22T00:23:41ZengBMCJournal of Cardiothoracic Surgery1749-80902019-06-011411710.1186/s13019-019-0938-3A comparative study of thoracoscopic and open surgery of congenital diaphragmatic hernia in neonatesJing Qin0Yongying Ren1Deliang Ma2Departments of Anesthesiology, Linyi Central HospitalDepartments of Anesthesiology, Linyi Central HospitalDepartments of Medical Oncology, Linyi Central HospitalAbstract Background An increasing number of hospitals have carried out neonatal thoracoscopic assisted repair of congenital diaphragmatic hernia (CDH). Methods The 26 cases received thoracoscopic-assisted repair (observation group) and 44 cases open repair (control group). General anesthesia was performed with endotracheal intubation using a trachea cannula without cuff. The general preoperative data, intraoperative hemodynamic parameters, intraoperative surgical conditions, postoperative complications, postoperative recovery condition, postoperative survival rate and recurrence rate were recorded. Results The intraoperative mean arterial pressure and heart rate at each time point in observation group were more stable and effective than those in control group (all P < 0.001). The number of manual ventilation, SpO2 < 90% and hypercapnia cases were significantly lower than those in control group (all P < 0.05). Intraoperative bleeding, incision length and operation duration were significantly lower in observation group compared with control group (all P < 0.001). No significant differences were seen between the two groups in postoperative complications including pulmonary infection, incision infection, pulmonary hypertension, hemorrhage, and scleredema (all P > 0.05). The duration of postoperative mechanical ventilation, antibiotic use and hospitalization in observation group was significantly shorter than those in control group (all P < 0.05). There was no significant difference in postoperative survival rate and recurrence rate between the two groups (both P > 0.05). Conclusion The intraoperative hemodynamic parameters of CDH repair under thoracoscopy were more stable, the duration of postoperative mechanical ventilation, antibiotic use and hospitalization were shortened, and the therapeutic effect was better.http://link.springer.com/article/10.1186/s13019-019-0938-3Congenital diaphragmatic herniaNeonates anesthesiaOpen surgeryThoracoscopy |
| spellingShingle | Jing Qin Yongying Ren Deliang Ma A comparative study of thoracoscopic and open surgery of congenital diaphragmatic hernia in neonates Journal of Cardiothoracic Surgery Congenital diaphragmatic hernia Neonates anesthesia Open surgery Thoracoscopy |
| title | A comparative study of thoracoscopic and open surgery of congenital diaphragmatic hernia in neonates |
| title_full | A comparative study of thoracoscopic and open surgery of congenital diaphragmatic hernia in neonates |
| title_fullStr | A comparative study of thoracoscopic and open surgery of congenital diaphragmatic hernia in neonates |
| title_full_unstemmed | A comparative study of thoracoscopic and open surgery of congenital diaphragmatic hernia in neonates |
| title_short | A comparative study of thoracoscopic and open surgery of congenital diaphragmatic hernia in neonates |
| title_sort | comparative study of thoracoscopic and open surgery of congenital diaphragmatic hernia in neonates |
| topic | Congenital diaphragmatic hernia Neonates anesthesia Open surgery Thoracoscopy |
| url | http://link.springer.com/article/10.1186/s13019-019-0938-3 |
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