Congenital lung malformations : a nationwide survey on management aspects by the Italian Society of Pediatric Surgery
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature..
INTRODUCTION: Over the years, congenital lung malformations (CLM) management remains a controversial topic in pediatric thoracic surgery. The Italian Society of Pediatric Surgery performed a national survey to study the current management variability among centers, trying to define national guidelines and a standardized approach of children with congenital lung malformations.
METHODS: Following a National Society approval, an electronic survey including 35 items on post-natal management was designed, focusing on surgical, anesthesiology, radiology and pneumology aspects. The survey was conducted contacting all pediatric surgical units performing thoracic surgery.
RESULTS: 39 pediatric surgery units (97.5%) participated in the study. 13 centers (33.3%) were classified as high-volume (Group A), while 26 centers (66.7%) were low volume (Group B). Variances in diagnostic imaging protocols were observed, with Group A performing fewer CT scans compared to Group B (p = 0.012). Surgical indications favored operative approaches for asymptomatic CLM and pulmonary sequestrations in both groups, while a wait-and-see approach was common for congenital lobar emphysema. Surgical timing for asymptomatic CLM differed significantly, with most high-volume centers operating on patients younger than 12 months (p = 0.02). Thoracoscopy was the preferred approach for asymptomatic CLM in most of centers, while postoperative long-term follow-up was not performed in most of the centers.
CONCLUSION: Thoracoscopic approach seems uniform in asymptomatic CLM patients and variable in symptomatic children. Lack of uniformity in surgical timing and preoperative imaging assessment has been identified as key areas to establish a common national pattern of care for CLM.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2024 |
|---|---|
| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:40 |
|---|---|
| Enthalten in: |
Pediatric surgery international - 40(2024), 1 vom: 10. Feb., Seite 53 |
| Sprache: |
Englisch |
|---|
| Links: |
|---|
| Themen: |
CLM |
|---|
| Anmerkungen: |
Date Completed 14.02.2024 Date Revised 14.02.2024 published: Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1007/s00383-024-05635-x |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM368297373 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM368297373 | ||
| 003 | DE-627 | ||
| 005 | 20240214233334.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 240211s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1007/s00383-024-05635-x |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1293.xml |
| 035 | |a (DE-627)NLM368297373 | ||
| 035 | |a (NLM)38340215 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Pio, Luca |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Congenital lung malformations |b a nationwide survey on management aspects by the Italian Society of Pediatric Surgery |
| 264 | 1 | |c 2024 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 14.02.2024 | ||
| 500 | |a Date Revised 14.02.2024 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. | ||
| 520 | |a INTRODUCTION: Over the years, congenital lung malformations (CLM) management remains a controversial topic in pediatric thoracic surgery. The Italian Society of Pediatric Surgery performed a national survey to study the current management variability among centers, trying to define national guidelines and a standardized approach of children with congenital lung malformations | ||
| 520 | |a METHODS: Following a National Society approval, an electronic survey including 35 items on post-natal management was designed, focusing on surgical, anesthesiology, radiology and pneumology aspects. The survey was conducted contacting all pediatric surgical units performing thoracic surgery | ||
| 520 | |a RESULTS: 39 pediatric surgery units (97.5%) participated in the study. 13 centers (33.3%) were classified as high-volume (Group A), while 26 centers (66.7%) were low volume (Group B). Variances in diagnostic imaging protocols were observed, with Group A performing fewer CT scans compared to Group B (p = 0.012). Surgical indications favored operative approaches for asymptomatic CLM and pulmonary sequestrations in both groups, while a wait-and-see approach was common for congenital lobar emphysema. Surgical timing for asymptomatic CLM differed significantly, with most high-volume centers operating on patients younger than 12 months (p = 0.02). Thoracoscopy was the preferred approach for asymptomatic CLM in most of centers, while postoperative long-term follow-up was not performed in most of the centers | ||
| 520 | |a CONCLUSION: Thoracoscopic approach seems uniform in asymptomatic CLM patients and variable in symptomatic children. Lack of uniformity in surgical timing and preoperative imaging assessment has been identified as key areas to establish a common national pattern of care for CLM | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a CLM | |
| 650 | 4 | |a CPAM | |
| 650 | 4 | |a Congenital lung malformations | |
| 650 | 4 | |a MIS | |
| 650 | 4 | |a Pediatric thoracic surgery | |
| 650 | 4 | |a Thoracoscopic surgery | |
| 700 | 1 | |a Gentilino, Valerio |e verfasserin |4 aut | |
| 700 | 1 | |a Macchini, Francesco |e verfasserin |4 aut | |
| 700 | 1 | |a Scarpa, Alberto Attilio |e verfasserin |4 aut | |
| 700 | 1 | |a Lo Piccolo, Roberto |e verfasserin |4 aut | |
| 700 | 1 | |a Conforti, Andrea |e verfasserin |4 aut | |
| 700 | 1 | |a Ratta, Alberto |e verfasserin |4 aut | |
| 700 | 1 | |a Guanà, Riccardo |e verfasserin |4 aut | |
| 700 | 1 | |a Molinaro, Francesco |e verfasserin |4 aut | |
| 700 | 1 | |a Costanzo, Sara |e verfasserin |4 aut | |
| 700 | 1 | |a Riccipetitoni, Giovanna |e verfasserin |4 aut | |
| 700 | 1 | |a Lisi, Gabriele |e verfasserin |4 aut | |
| 700 | 1 | |a Midrio, Paola |e verfasserin |4 aut | |
| 700 | 1 | |a Tocchioni, Francesca |e verfasserin |4 aut | |
| 700 | 1 | |a Cobellis, Giovannii |e verfasserin |4 aut | |
| 700 | 1 | |a Volpe, Andrea |e verfasserin |4 aut | |
| 700 | 1 | |a Zolpi, Elisa |e verfasserin |4 aut | |
| 700 | 1 | |a Morandi, Anna |e verfasserin |4 aut | |
| 700 | 1 | |a Ciardini, Enrico |e verfasserin |4 aut | |
| 700 | 1 | |a Vella, Claudio |e verfasserin |4 aut | |
| 700 | 1 | |a Grella, Maria Giovanna |e verfasserin |4 aut | |
| 700 | 1 | |a Sergio, Maria |e verfasserin |4 aut | |
| 700 | 1 | |a Guida, Edoardo |e verfasserin |4 aut | |
| 700 | 1 | |a Nanni, Lorenzo |e verfasserin |4 aut | |
| 700 | 1 | |a Ceccanti, Silvia |e verfasserin |4 aut | |
| 700 | 1 | |a Di Benedetto, Vincenzo |e verfasserin |4 aut | |
| 700 | 1 | |a Cheli, Maurizio |e verfasserin |4 aut | |
| 700 | 1 | |a Garzi, Alfredo |e verfasserin |4 aut | |
| 700 | 1 | |a Nobili, Maria |e verfasserin |4 aut | |
| 700 | 1 | |a Gabriele, Valeria |e verfasserin |4 aut | |
| 700 | 1 | |a Boroni, Giovanni |e verfasserin |4 aut | |
| 700 | 1 | |a Incerti, Filippo |e verfasserin |4 aut | |
| 700 | 1 | |a Zampieri, Nicola |e verfasserin |4 aut | |
| 700 | 1 | |a Cacciaguerra, Sebastiano |e verfasserin |4 aut | |
| 700 | 1 | |a Ceccarelli, Pier Luca |e verfasserin |4 aut | |
| 700 | 1 | |a Escolino, Maria |e verfasserin |4 aut | |
| 700 | 1 | |a Briganti, Vito |e verfasserin |4 aut | |
| 700 | 1 | |a Gori, Davide |e verfasserin |4 aut | |
| 700 | 1 | |a Esposito, Ciro |e verfasserin |4 aut | |
| 700 | 1 | |a Gamba, Piergiorgio |e verfasserin |4 aut | |
| 700 | 1 | |a Gennari, Fabrizio |e verfasserin |4 aut | |
| 700 | 1 | |a Inserra, Alessandro |e verfasserin |4 aut | |
| 700 | 1 | |a Dall'Igna, Patrizia |e verfasserin |4 aut | |
| 700 | 1 | |a Romeo, Carmelo |e verfasserin |4 aut | |
| 700 | 1 | |a Bagolan, Pietro |e verfasserin |4 aut | |
| 700 | 1 | |a Bleve, Cosimo |e verfasserin |4 aut | |
| 700 | 1 | |a Chiarenza, Fabio |e verfasserin |4 aut | |
| 700 | 1 | |a Morini, Francesco |e verfasserin |4 aut | |
| 700 | 1 | |a Pelizzo, Gloria |e verfasserin |4 aut | |
| 700 | 1 | |a Torre, Michele |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Pediatric surgery international |d 1996 |g 40(2024), 1 vom: 10. Feb., Seite 53 |w (DE-627)NLM085832804 |x 1437-9813 |7 nnns |
| 773 | 1 | 8 | |g volume:40 |g year:2024 |g number:1 |g day:10 |g month:02 |g pages:53 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1007/s00383-024-05635-x |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 40 |j 2024 |e 1 |b 10 |c 02 |h 53 | ||