Table 1.
Patients’, congenital lung malformation, operative and postopertative characteristics, divided into two groups, asymptomatic versus symptomatic
Asymptomatic=137 (%) | Symptomatic=49 (%) | P | |
---|---|---|---|
Patients’characteristics | |||
Prenatal diagnosis | 134 (98) | 15 (31) | 0.001 |
Age at surgery (mean±SD) | 11.8±27.81 mo | 58.83±67.3 mo | 0.001 |
Weight at surgery (mean±SD) | 10.2±6.6 kgs | 14.8±12.4 kgs | 0.86 |
Symptoms | |||
Pneumonia | 18 (37) | ||
Respiratory distress | 15 (30) | ||
Pneumothorax | 10 (20) | ||
Thoracic pain | 6 (13) | ||
Associated malformations | 12 (9) | 6 (12) | 0.57 |
CPAM characteristics | |||
Laterality | |||
Right | 71 (52) | 22 (45) | 0.50 |
Left | 68 (49) (two bilateral) | 27 (55) | 0.50 |
Location | |||
Upper | 36 (26) | 22 (43) | 0.03 |
Middle | 8 (6) | 8 (14) | 0.06 |
Lower | 101 (74) | 20 (39) | 0.001 |
Multi-lobar | 8 (6) | 1 (2) | 0.67 |
Diameter (mean±SD) | 4.5±2.5 cms | 4.9±2 cms | 0.44 |
Histology | |||
CCAM | 65 (47) | 17 (35) | 0.13 |
Hybrid lesions | 6 (4) | 0 | 0.34 |
Intralobar Sequestration | 35 (25) | 9 (18) | 0.33 |
Extralobar Sequestration | 20 (14) | 3 (6) | 0.13 |
Bronchogenic cyst | 1 (1) | 2 (5) | 0.17 |
Lobar emphysema | 22 (16) | 15 (30) | 0.03 |
Operative data | |||
Surgical technique | |||
Thoracotomy | 76 (55) | 28 (57) | 0.86 |
Thoracoscopy | 61 (45) | 21 (43) | 0.86 |
Duration of procedure (mean±SD) | 105.1±43.5 min | 116.8±52.8 min | 0.11 |
Type of procedure | |||
Lobectomy | 5 (4) | 2 (4) | 1.00 |
Segmentectomy | 8 (6) | 2 (4) | 1.00 |
Wedge resection | 114 (83) | 40 (82) | 0.82 |
Others | 10 (7) | 5 (10) | 0.47 |
Postoperative data | |||
Duration of postoperative drainage | 6.0±5 days | 6.2±4.5 days | 0.80 |
Days in intensive care | 3.1±2.5 days | 7.0±14 days | 0.002 |
Length of hospital stay | 13.9±15.1 days | 19.2±23 days | 0.07 |
Duration of follow-up (mean±SD) | 30.7±32.4 mo | 21.6±22.1 mo | 0.07 |
Postoperative complications | 10 (7) | 10 (20) | 0.32 |
Pneumonia | 3 (2) | 4 (8) | 0.01 |
Persistent pneumothorasx | 4 (3) | 4 (8) | 0.21 |
Respiratory distress | 3 (2) | 2 (4) | 0.60 |
Reintervention | 0 | 3 (6) | 0.01 |
P<0.05 was considered as statistically significant. CPAM: Congenital pulmonary airway malformation, SD: Standard deviation