Comparing 30-day outcomes between thoracoscopic and open approaches for resection of pediatric XXXX : Evidence from NSQIP.

@entity1 @entity358 @entity260
BACKGROUND/PURPOSE: Thoracoscopic surgery has been increasingly utilized in treating pediatric @entity358 ( @entity358 ). Comparative studies evaluating 30-day outcomes between thoracoscopic and open resection of @entity358 are lacking. METHODS: There were 258 @entity1 identified in pediatric NSQIP with a @entity358 and pulmonary resection in 2012-2013. Comparisons of @entity1 characteristics and outcomes between surgical approaches were made using standard univariate statistics. In addition, a propensity score match was performed to evaluate outcomes in similar @entity1 cohorts. RESULTS: One-hundred twelve @entity1 (43.4%) received thoracoscopic resections and 146 @entity1 (56.6%) received open resections. @entity1 undergoing open resections were more likely to be less than 5months of age and have a comorbidity/preoperative condition (47.3% vs. 25.0%, p<0.001). The extent of resection was a lobectomy in 84.8% of thoracoscopic and 92.5% of open resection @entity1 . Median operative time was similar between both groups (thoracoscopic 172 vs. open 153.5minutes). On univariate analysis, thoracoscopic resection was associated with @entity260 (9.8% vs. 25.3%, p=0.001) and LOS (3 vs. 4days, p<0.001). However, after adjusting for similar @entity1 and operative characteristics, no significant differences were encountered between techniques. CONCLUSIONS: Thoracoscopic and open resection provide comparable 30-day outcomes and safety in the management of @entity358 .
