Clinical Outcomes in Neonates Undergoing Lung Resection

Clinical Outcomes in Neonates Undergoing Lung Resection

We read the article on “Clinical Outcomes in Neonates Undergoing Lung Resection” with great interest.[1] Dutta et al concluded that “Congenital lobar emphysema was the most common congenital lung lesion in our series. Respiratory distress and respiratory infection were the most common symptoms. Neonates and infants tolerated lung resection well.”[1] Indeed, in pediatric surgery, there are several factors determining the clinical outcome. The patient preparation and the underlying health condition of the patient are the two main important concerns. These factors should be well-mentioned and discussed. The structural deformities following surgery is a big consideration. In a recent report, Makita et al noted “thoracotomy, being a neonate (age < 1 month) at the time of surgery, and being symptomatic at the time of surgery as risk factors for these deformities.”[2] The recommended surgical technique for congenital lung problem is thoracoscopy.[2] [3]

• References

• 1 Dutta HK, Bora M, Diganta Saikia D. Evaluation of clinical outcomes in neonates undergoing lung resection for congenital lesions. J Child Sci 2017; 1: e4-e9
• 2 Makita S, Kaneko K, Ono Y, Uchida H. Risk factors for thoracic and spinal deformities following lung resection in neonates, infants, and children. Surg Today 2017; 47 (07) 810-814
• 3 Adams S, Jobson M, Sangnawakij P. , et al. Does thoracoscopy have advantages over open surgery for asymptomatic congenital lung malformations? An analysis of 1626 resections. J Pediatr Surg 2017; 52 (02) 247-251