ArticlePediatric surgery international2020
Non-operative management of extralobar pulmonary sequestration: a safe alternative to resection?
Article in Pediatric surgery international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 23 citations in OpenAlex.
- Surgical Management of Congenital Lung Malformations: Indications, Timing, and Outcomes.Journal of chest surgery · 2026Review
- A lifespan pooled analysis of 832 cases: characterizing the lifespan profile of clinical presentations and comorbidities in congenital pulmonary airway malformation.Orphanet journal of rare diseases · 2026Article
- Cystic masses of the pediatric lung: update on congenital pulmonary airway malformation and its differential diagnosis.Virchows Archiv : an international journal of pathology · 2025Review
- Thoracoscopic two-port treatment of two extralobar pulmonary sequestrations in the left thoracic cavity of a child: a case report.Frontiers in pediatrics · 2025Article
- Article
- Separating Out Pulmonary Sequestration.Cureus · 2024Article
- Congenital lung malformations.Nature reviews. Disease primers · 2023Review
- Ten cases of intradiaphragmatic extralobar pulmonary sequestration: a single-center experience.World journal of pediatric surgery · 2022Article
- The Clinical Value of Prenatal Ultrasonography in the Differential Diagnosis of Fetal Suprarenal Space-Occupying Lesions.International journal of women's health · 2022Article
- Case Report: An extremely rare case of double extralobar pulmonary sequestration with anomalous supplying arteries originating from the abdominal aorta in the left thoracic cavity.Frontiers in pediatrics · 2022Article
- A Neonatal Case of Extralobar Pulmonary Sequestration with Thymus-Like Shadow.Global pediatric health · 2021Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis retrospective cohort study compares the natural history of patients with extralobar sequestrations (ELS) who do not undergo intervention with those who undergo resection to assess the safety of non-operative management.
methods126 patients with pulmonary sequestrations or congenital pulmonary airway malformations born between 1999 and 2016 were identified. 49 patients had ELS on postnatal imaging, but two were excluded for associated congenital diaphragmatic hernia. Demographic and clinical data were retrospectively reviewed, with phone follow-up for non-operative patients with no records for > 1 year. Statistical analysis was by Fisher's exact test or Wilcoxon signed-rank test (two-tailed p < 0.05).
results40% (19/47) were managed non-operatively and 60% (28/47) underwent resection. Non-operative patients were less likely to have an intrathoracic ELS: 47% (9/19) vs. 75% (21/28), p = 0.07. No symptoms were attributable directly to the ELS. Non-operative patients had median follow-up 3.2 years, during which time 88% (15/17) of ELS decreased in size on serial imaging. For patients who underwent resection, there was 100% concordance between imaging and intraoperative findings. There was no evidence of inflammation, infection or malignancy on final pathology, though 57% (16/28) of resected lesions had foci of non-aerated cysts.
conclusionsAlthough further longitudinal study is required, this study supports the safety of non-operative ELS management.
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