PURPOSE: Thoracoscopic @entity2914 ( @entity2914 ) repair is increasingly reported. A significant intraoperative @entity520 secondary to the pneumocarbia, as well as an increased recurrence rate, are possible concerns. Our aim was to review our early experience of the technique. METHODS: A prospective and retrospective data collection was carried out on all @entity1 undergoing either an open or thoracoscopic @entity2914 repair for a 4-year period. Preoperative blood gas values were identified at various stages of the operative procedure. A pH of 7.2 was considered to be a significant @entity520 . The duration of surgery, complications, and recurrence rates were also recorded. Data were analyzed using the Mann-Whitney U test, and a P value of .05 or less was considered significant. RESULTS: Twenty-two @entity1 were included. One @entity204 occurred before surgery. Twelve @entity1 underwent thoracoscopic repair (8 neonatal), and 9 underwent open repair (8 neonatal). There were 9 left-sided defects in the thoracoscopic group and 9 in the open group. Operative time was longer in the thoracoscopic group compared to the open group (median, 135 vs 93.5 minutes; P = .02). Neonates undergoing thoracoscopic repair were heavier compared to the open group (median, 3.9 vs 2.9 kg; P = .05), and their preoperative requirements for ventilation and inotropes were comparable. However, the association between those @entity1 who required preoperative inotropes and those who required a patch repair was statistically significant P = .03. Two @entity1 in each group developed an intraoperative @entity520 . A further @entity1 in the thoracoscopic group had a severe @entity520 present at the beginning of surgery. There was no statistical difference in pH values or recurrence rate between the 2 groups. All recurrences were in @entity1 requiring patch repairs. No postoperative mortality occurred. CONCLUSIONS: We present our early experience of thoracoscopic @entity2914 repair. Our results from thoracoscopic repair appear similar to the open procedure performed over the same period. No clear difference in intraoperative pH or recurrence rate has been demonstrated in our series. There is a need for a multicenter prospective study to establish the longer term outcome of this technique.

Does thoracoscopic @entity2914 cause a significant intraoperative XXXX when compared to an open abdominal approach?

@entity2914 :: ('MESH:D065630', 'Disease') :: ['congenital diaphragmatic hernia', 'CDH'] @entity520 :: ('MESH:D000138', 'Disease') :: ['acidosis'] @entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death']
@entity520 :: (MESH:D000138,Disease) :: ['acidosis']
