title: Segmental resection for the treatment of congenital pulmonary malformations.
abstract: OBJECTIVE
  The purpose of this study was to compare clinical outcomes of segmental resection to lobectomy as increasing antenatal diagnosis of congenital pulmonary malformations has led to a shift in surgical management.
  
  
  METHODS
  A retrospective institutional review for patients undergoing surgical excision of congenital pulmonary malformations was performed.
  
  
  RESULTS
  Sixty-two patients with congenital pulmonary malformations were reviewed between 2001 and 2012. Forty-five were included for analysis. Malformations were subdivided into two groups, including congenital lobar emphysema (CLE) (n=11, 24%) and intrapulmonary (IP) lesions (n=34, 76%). Nineteen (56%) IP patients underwent segmental resection, and 15 (79%) were performed thoracoscopically without conversion to thoracotomy. None of these patients had recurrent disease. Lobectomy was performed in 11 (100%) CLE and 15 (44%) IP patients, and the majority were by thoracotomy. Median hospital stay was longer for the lobectomy group at 7days when compared to the segmentectomy group at 2days (p<0.001). There was not a difference in complication rate (21% vs. 19%, p=1.000) or in median number of chest tube days (2 vs. 3days, p=0.079) for segmentectomy versus lobectomy patients.
  
  
  CONCLUSIONS
  Segmental resections of congenital pulmonary malformations can be performed safely while conserving healthy lung tissue.
authors.affiliation: Department of Surgery, Division of Pediatric Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA.
authors.forename: Naina
authors.initials: N
authors.lastname: Bagrodia
authors.affiliation: Department of Surgery, Division of Pediatric Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA.
authors.forename: Shannon
authors.initials: S
authors.lastname: Cassel
authors.affiliation: Department of Surgery, Division of Pediatric Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA.
authors.forename: Junlin
authors.initials: J
authors.lastname: Liao
authors.affiliation: Department of Surgery, Division of Pediatric Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA.
authors.forename: Graeme
authors.initials: G
authors.lastname: Pitcher
authors.affiliation: Department of Surgery, Division of Pediatric Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA. Electronic address: joel-shilyansky@uiowa.edu.
authors.forename: Joel
authors.initials: J
authors.lastname: Shilyansky
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D008168:Lung / Q000002:abnormalities* / Q000601:surgery; D008171:Lung Diseases / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D011013:Pneumonectomy / Q000379:methods*; D011247:Pregnancy; D012189:Retrospective Studies; D013906:Thoracoscopy; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult
keywords: CPAM; Congenital lobar emphysema; Congenital pulmonary malformation; Lung-sparing segmental resection; Segmental resection; Sequestration