ArticleSurgical endoscopy2016
Thoracoscopic repair of congenital diaphragmatic hernia with countermeasures against reported complications for safe outcomes comparable to laparotomy.
Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Thoracoscopic versus open congenital diaphragmatic hernia repair: a systematic review and meta-analysis by the Pediatric Surgery Meta-Analysis Study Group (PESMA).Pediatric surgery international · 2026Pooled it
- Comprehensive meta-analysis of surgical procedure for congenital diaphragmatic hernia: thoracoscopic versus open repair.Pediatric surgery international · 2024Pooled it
- Reasons for conversions in thoracoscopic repairs of neonatal congenital diaphragmatic hernias: a systematic review.Surgical endoscopy · 2024Pooled it
- Use of an endo fascial closure device for thoracoscopic patch repair of congenital diaphragmatic hernia.Frontiers in pediatrics · 2026Article
- Surgical management of the diaphragmatic defect in congenital diaphragmatic hernia: a contemporary review.World journal of pediatric surgery · 2024Review
- A potential cause of left ventricular dysfunction after surgery in neonates with low-risk congenital diaphragmatic hernia: high-tension repair.Pediatric surgery international · 2023Article
- Surgical treatment of congenital diaphragmatic hernia in a single institution.Journal of cardiothoracic surgery · 2022Article
- A new simplified technique in thoracoscopic repair of congenital diaphragmatic hernia.Pediatric surgery international · 2022Article
- The incidence of different forms of ileus following surgery for abdominal birth defects in infants: a systematic review with a meta-analysis method.Innovative surgical sciences · 2021Article
- Thoracoscopic repair of congenital diaphragmatic hernia: a new anatomical reconstructive concept for tension dispersal at primary closure.Surgical endoscopy · 2021Article
- Respiratory Support of Infants With Congenital Diaphragmatic Hernia.Frontiers in pediatrics · 2021Review
- [Thoracoscopic repair of congenital diaphragmatic hernia in neonates: a report of 47 cases].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2018Article
- 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, management in the newborn.Pediatric surgery international · 2015Review
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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
backgroundThoracoscopic repair is the preferred treatment for congenital diaphragmatic hernia (CDH); however, several complications, including visceral injury, hypercapnia, and a high incidence of recurrence, have been reported. The purpose of this study was to evaluate the efficacy of countermeasures against these complications at ensuring safe thoracoscopic repair.
methodsBetween January 2000 and December 2014, 40 patients with Bochdalek-type CDH were treated. Of these, 24 patients met the defined criteria for this study, 8 of whom underwent thoracoscopic repair beginning in January 2010 (TS group) and 16 underwent laparotomy before December 2009 (LT group). Perioperative variables and postoperative complications were compared between the groups. Countermeasures against adverse events in the TS group included an endoscopic surgical spacer to prevent visceral injury, intrapulmonary percussive ventilation to avoid hypercapnia, pausing CO2 insufflation to reduce tension during the repair, and prioritizing patch repair in cases of strong tension at the defect.
resultsPrimary closure was performed in 4 of 8 cases in the TS and 11 of 16 cases in the LT group. There was no visceral injury or conversion to laparotomy in the TS group. The mean operative duration was significantly longer (212 vs. 115 min, respectively, p = 0.0001), and the mean blood loss was significantly less in the TS than in the LT group (1.0 vs. 10.1 mL, respectively, p = 0.01). The intraoperative minimum arterial pH and maximum pCO2 were similar between the groups. All patients survived, and none experienced recurrence.
conclusionsOur countermeasures to complications of thoracoscopic repair may contribute to safe outcomes equivalent to those of laparotomy in patients meeting our criteria.
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