title: A contemporary evaluation of pulmonary function in children undergoing lung resection in infancy.
abstract: OBJECTIVE
  The management of asymptomatic congenital lung lesions is controversial. Some centers recommend resection in infancy, and others prefer observation. Our objective was to evaluate the pulmonary function of children who underwent lung resection at 12 months or younger. We hypothesized that these children would not have a significant reduction in pulmonary function when compared with norms for age.
  
  
  METHODS
  All patients at 2 tertiary-care children's hospitals who underwent lung resection at 12 months or younger and are currently older than 5 years were identified and prospectively recruited. Pulmonary function testing was standardized in all patients.
  
  
  RESULTS
  Fourteen children were tested prospectively, whereas results were available for another 5 children. Four children were excluded for inability to perform pulmonary function testing (n = 2) or for preexisting pulmonary hypoplasia/syndrome (n = 2). Pulmonary function testing values were considered normal if they were more than 80% of predicted. Forced vital capacity was normal in 14 (93%) of 15 children, and forced expiratory volume in 1 second was normal in 13 (86%) of 15 children. Diffusion capacity and respiratory muscle strength were normal in all children tested.
  
  
  CONCLUSIONS
  Most children undergoing lung resection in infancy will have normal pulmonary function tests, supporting our philosophy of early, elective resection of congenital lung lesions.
authors: The Montreal Children's Hospital of McGill University Health Centre, Division of Pediatric General Surgery, Montreal, Quebec, Canada, H3H 1P3.
authors: Alana
authors: A
authors: Beres
authors: Ann
authors: A
authors: Aspirot
authors: Catherine
authors: C
authors: Paris
authors: Denis
authors: D
authors: Berube
authors: Sarah
authors: S
authors: Bouchard
authors: Jean-Martin
authors: JM
authors: Laberge
authors: Larry C
authors: LC
authors: Lands
authors: Pramod
authors: P
authors: Puligandla