The Outcomes of Lung Resection in Neonates with Symptomatic Congenital Lung Anomalies

Byung kwon Chong, Dong Kwan Kim, Han pil Lee, Jin San Bok, Geun Dong Lee, Se hoon Choi, Hyeong Ryul Kim, Yong-Hee Kim, Seung Il Park

Seoul Asan medical center, Seoul, Korea (South)

Date, time and location: 2018.05.25 10:30, Press Hall, 2F

Abstract

Background

Optimal time of surgery is controversial in young patients with congenital lung malformations, especially in neonates with symptoms. Emergency operation in neonate is regarded as challenging with high morbidity and mortality.

Methods

From Jan, 1999 to Jul, 2017 35 neonates with symptomatic congenital lung anomalies underwent lung resection. All patients were symptomatic and operation was performed in emergency presentation.

Results

Nineteen patients were female (54%) while 16 (46%) were male. The median age of patients was 7 days (4-12 days). Among 35 patients, 29 were congenital cystic adenomatoid malformation and 6 were extralobar pulmonary sequestration. There were 28 cases of lobectomy, 4 wedge resection, 2 bilobectomy and 1 segmentectomy. All patients had been intensive care unit and 13 neonates required ventilator support pre-operatively. Median time of postoperative ventilator support was 2 days (1-4 days). Chest tube was kept for 5 days (3-8 days). Median intensive care unit stay was 11 days (8 to 23 days) and total hospital day was 21 days (15-29 days). There were two cases of wound problem which required delayed closure. There was one mortality due to unpredicted hypoplastic anomaly of remnant lung. There was no late mortality during the follow up (median 64, range 42-104 months). All patients have been asymptomatic without complications.

Conclusion

Lung resection surgery is a feasible and safe option in neonates with symptomatic congenital lung anomalies. Thus surgical intervention should not be hesitated in congenital anomaly neonates with symptoms.