A comparative study on efficacy of uni-port and traditional three-port thoracoscopy or laparoscopy in treatment of pediatric extralobar pulmonary sequestration
WU Yurui
ZHENG Qipeng
CAO Zhenhua
CHEN Meng
ZHANG Hua
ZHOU Yan
LI Zexi
SU Yun
LIU Jing
Abstract：Objective To compare the clinical efficacy of uni-port and traditional three-port thoracoscopy or laparoscopy in treating pediatric extralobar pulmonary sequestration(EPS)and to provide evidence for optimizing surgical approaches.Methods A retrospective analysis was conducted on the clinical data of 107 pediatric patients with EPS diagnosed by surgery and pathology in Capital Center for Children's Health,Capital Medical University from January 2017 to January 2025.The pediatric patients were divided into uni-port group(20 patients)and three-port group(87 patients)according to different surgical procedures received by the pediatric patients.The indicators including baseline data,operation time,intraoperative blood loss,postoperative length of hospital stay,usage rate of analgesics and complications were compared between the two groups to analyze and evaluate the safety and efficacy of the two surgical procedures.Results The operation time and the postoperative length of hospital stay in the uni-port group were significantly shorter than those in the three-port group(P＜0.05).On the day after operation,the proportion of the pediatric patients who took oral analgesics in the uni-port group was lower than that in the three-port group(P＜0.05).There were no patients converted to thoracotomy in either group,and there were no intraoperative blood transfusions and serious complications.In the three-port group,1 patient had wound infection and 1 patient had rib injury after operation.In the uni-port group,there were no patients with the corresponding complications.There was no statistically significant difference in the incidence of complications between the two groups(P＞0.05).Conclusion Uni-port thoracoscopy or laparoscopy is safe and effective in treatment of pediatric EPS.Compared with the traditional three-port endoscopic surgical procedure,the uni-port endoscopic surgical procedure has the advantages of shorter operation time,faster postoperative recovery,less pain and satisfactory cosmetic outcome of incision.The uni-port endoscopic surgical procedure can be promoted as the preferred surgical procedure,but a comprehensive decision needs to be made in combination with the surgeons' experience and the individual condition of the pediatric patients.
Keywords：Pulmonary sequestrationExtralobarChildrenThoracoscopyLaparoscopyUni-portThree-port
Publication Date：2025-06-30
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 616-620 )