Single Site Thoracic Surgery for Pediatric Pneumothorax

Loma Linda University (LLU)

Status: Completed

Conditions: Pneumothorax, Spontaneous; Pediatric Disorder; Thoracic Diseases; Thoracic Surgery

Treatments: Procedure: Single port site thoracoscopic surgery; Procedure: Conventional multiport thoracoscopic surgery

Study type: Observational

Funder types: Other

Identifiers

NCT05034640

5210158

Details and patient eligibility

About

Video-Assisted Thoracoscopic Surgery (VATS) has become a standard of care in adults, pediatric surgeons have been slower to undertake this approach. There are limitations for working in children. The site of a chest tube becomes the working site for thoracoscopic surgery and the only scar. We propose this study to do a retrospective review comparing the conventional multiport thoracic surgery with the newer single port site.

Full description

While Video-Assisted Thoracoscopic Surgery (VATS) has become a standard of care in adults, pediatric surgeons have been slower to undertake this approach. The limitations for working in children are decreased working space, unknown thoracoscopic effects on body physiology, and instrument accommodation. Especially as the field for minimally invasive surgery expands, using the single port approach has unique implications in children. The site of a chest tube becomes the working site for thoracoscopic surgery and the only scar. Despite some learning curve, the preliminary outcomes are similar to the multiport surgeries with better cosmesis. The learning curves for single port site surgery have been well described and our group recently performed a similar study for appendectomies. We propose this study to do a retrospective review comparing the conventional multiport thoracic surgery with the newer single port site.

Enrollment: 7 patients

Sex: All

Ages: Under 19 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age < 19 years old
• pneumothorax
• underwent surgery for pneumothorax

Exclusion criteria

• Age =/> 19 years old
• history of prior thoracic surgery
• history of cancer

Trial design

7 participants in 2 patient groups

Conventional Multiport Thoracoscopic Surgery for Pediatric Pneumothorax

Description:

Patients who had multiport video assisted thoracoscopic surgery for pediatric pneumothorax.

Treatment:

Procedure: Conventional multiport thoracoscopic surgery

Single Port Thoracoscopic Surgery for Pediatric Pneumothorax

Description:

Patients who had single port video assisted thoracoscopic surgery for pediatric pneumothorax.

Treatment:

Procedure: Single port site thoracoscopic surgery