Morbidity after elective resection of prenatally diagnosed asymptomatic XXXX .

@entity1 @entity548 @entity532 @entity358 @entity1167 @entity81 @entity8524
BACKGROUND/AIM: The optimal management of prenatally diagnosed asymptomatic @entity358 ( @entity358 ) is controversial. Since there is a paucity of data relating to surgical risks in this specific population, we reviewed our experience to further inform this controversy. METHODS: Ethically approved 10 year (2004-2013) retrospective review. @entity1 were included only if the @entity358 was diagnosed prenatally and remained asymptomatic. Indication for surgery was physician recommendation and/or parental choice. MAIN RESULTS: Sixty @entity1 were identified. Median age at surgery was 6.5 months (range 65 days to 9.6 years). Resections were performed thoracoscopically (n   =   51, one conversion) or by thoracotomy (n   =   9). Surgical time was 2.5   hr (43   min to 4.75   hr). A chest drain was used in 58/60 and remained in situ 53   hr (23-108). There were no @entity532 or blood transfusions. All @entity1 were extubated at the end of the procedure with no re-intubations. Post-operative hospitalization was 73.4   hr (23.8   hr to 4.2 days). Overall, complications occurred in 14/60 (23%). Eleven were minor but three were major: tension pneumothorax associated with new presentation of a small previously undiagnosed diaphragmatic hernia 5 days following resection; aggressive @entity81 of the chest wall in the region close to resection 2 years later; and near-fatal hypovolemic @entity1167 due to massive @entity548 from a feeding vessel on postoperative day 7. There were no deaths and no cases of @entity8524 . CONCLUSION: Resection of prenatally diagnosed asymptomatic @entity358 is associated with a significant risk of complications, which may be life threatening. These data contribute to a balanced discussion of risks and benefits for these @entity1 . Pediatr Pulmonol. 2016;51:525-530.    2015 Wiley Periodicals, Inc.
