ArticlePediatric surgery international2011
Indications for thoracoscopic repair of congenital diaphragmatic hernia in neonates.
Article in Pediatric surgery international, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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18 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- Historical evolution of thoracoscopic repair for congenital diaphragmatic hernia: an era-based systematic review and meta-analysis.Surgical endoscopy · 2026Pooled it
- Review
- Tension-free thoracoscopic repair of congenital diaphragmatic hernia combined with a percutaneous extracorporeal closure technique: how to do it.Surgery today · 2023Article
- Recurrence of Congenital Diaphragmatic Hernia: Risk Factors, Management, and Future Perspectives.Frontiers in pediatrics · 2022Article
- Thoracoscopic repair of congenital diaphragmatic hernia in neonates: findings of a multicenter study in Japan.Surgery today · 2021Article
- Thoracoscopic repair of congenital diaphragmatic hernia: a new anatomical reconstructive concept for tension dispersal at primary closure.Surgical endoscopy · 2021Article
- Intraoperative ventilation during thoracoscopic repair of neonatal congenital diaphragmatic hernia.Pediatric surgery international · 2017Article
- Reply to letter to the editor concerning-"Congenital diaphragmatic hernia in neonates: factors related to failure of thoracoscopic repair".Pediatric surgery international · 2017Article
- Letter to the Editor regarding the article "Congenital diaphragmatic hernia in neonates: factors related to failure of thoracoscopic repair".Pediatric surgery international · 2017Article
- Congenital diaphragmatic hernia in neonates: factors related to failure of thoracoscopic repair.Pediatric surgery international · 2016Article
- Minimally invasive surgery for diaphragmatic diseases in neonates and infants.Surgery today · 2016Review
- Two-stage endoscopic repair of congenital diaphragmatic hernia.BMJ case reports · 2016Article
- Thoracoscopic repair of congenital diaphragmatic hernia with countermeasures against reported complications for safe outcomes comparable to laparotomy.Surgical endoscopy · 2016Article
- Safety of surgery for neonatal congenital diaphragmatic hernia as reflected by arterial blood gas monitoring: thoracoscopic versus open repair.Pediatric surgery international · 2015Article
- Surgical intervention for congenital diaphragmatic hernia: open versus thoracoscopic surgery.Pediatric surgery international · 2013Article
- Minimally invasive surgery in infants with congenital diaphragmatic hernia: outcome and selection criteria.Journal of the Korean Surgical Society · 2013Article
- Pulmonary artery size as an indication for thoracoscopic repair of congenital diaphragmatic hernia in neonates.Pediatric surgery international · 2012Article
- Congenital diaphragmatic hernia in neonates: Open versus thoracoscopic repair.African journal of paediatric surgery : AJPSArticle
Corrections and comments
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe reviewed 26 consecutive cases of congenital diaphragmatic hernia (CDH) prospectively to establish selection criteria for successful thoracoscopic CDH repair (TR).
methodsFive preoperative deaths were excluded, leaving 21 subjects. TR was only considered once pulmonary hypertension (PH) improved on echocardiography, and if cardiopulmonary status was stable in the decubitus position in the neonatal intensive care unit (NICU) under conventional mechanical or high-frequency oscillatory ventilation (HFOV) with/without nitric oxide (NO) for at least 10 min as a marker for tolerating surgery and manual ventilation was possible for transfer to the operating room. All other patients had open repair (OR).
results8/21 had TR and 13/21 had OR. There were significant differences between TR and OR for prenatal diagnosis (37.5 vs. 84.6%, p < 0.05) and earlier surgery (1.4 ± 0.8 vs. 2.5 ± 1.1 days after birth, p < 0.05), respectively. Intraoperative HFOV was required in all OR and 3 TR (p < 0.01). NO was required in 1 TR and 10 OR (p < 0.01). Organ herniation was significantly less in TR (50 vs. 100%, p < 0.01 for stomach; 0 vs. 54%, p < 0.05 for liver). Three TR required conversion to OR because of technical difficulties. One OR died from deteriorating PH.
conclusionsOur selection criteria for TR would appear to be safe and reasonable.
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