The results of treatment of newborns with right-sided and left-sided intrathoracic localization of the liver with diaphragmatic hernia
- 作者: Mokrushina O.G.1,2, Razumovskiy A.Y.1,2, Yudina E.V.2, Afukov I.I.1,2, Shumikhin V.S.1,2, Smirnova S.V.1,2, Zilbert E.V.1,2, Petrova L.V.2, Erokhina N.O.1,2, Halafov R.V.1,2, Svetlichnaya T.O.2
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隶属关系:
- Pirogov Russian National Research Medical University
- Filatov Children’s Hospital
- 期: 卷 12, 编号 4 (2022)
- 页面: 401-410
- 栏目: Original Study Articles
- URL: https://journals.rcsi.science/2219-4061/article/view/233288
- DOI: https://doi.org/10.17816/psaic1291
- ID: 233288
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BACKGROUND: The right-sided congenital diaphragmatic hernia is the rare pathology. Results of diagnostics, prognosis and treatment usally published as a collection of cases.
AIM: Comparition of treatment results of congenital diaphragmatic hernia with the liver as its content in dependancy of the side.
MATERIALS AND METHODS: We present a retrospective analysis of 50 newborn patients with congenital diaphragmatic hernia. Patiens were divided in two groups, first — with right-sided (19 patients), and second — with left-sided hernia (31 patients). Groups were compared by gender and weigth. Comparition criteria was the results of prenatal and postnatal diagnostics, intraoperative data, postoperative period, complications and outcomes.
RESULTS: We found predominance of prenatal diagnosis in the second group (48% vs 84%, p = 0,001). The lung-to-head circumference ratio were the same in both groups (0,52 in first, 0,46 in second, p = 0,058). Chance to use thoracoscopic approach in the second group was higer in 5,7 times (48% vs 84%). Postoperative period was easier in the group of right-sided congenital diaphragmatic hernia: artificial ventilation lasted on average 8 days (min 3; max 28) versus 11 (min 4; max 50) days in the first group (p = 0,036).
Hospital stay was significantly lower in the second group — 18 days (min 12; max 28), versus 50 days in the first group (min 13; max 64), p = 0,011. Recovery chance in patients with right-sided hernia was higher (45% vs 79%, confidence interval 0,059–0,814).
CONCLUSIONS: Every type of diaphragmatic hernia, including right-sided location, need to be the subgect of research of high compitantive center. Prognostic criteria for right-sided congenital diaphragmatic hernia require furter advanced study, wich is possible only in case of concentration of patients in the same center.
作者简介
Olga Mokrushina
Pirogov Russian National Research Medical University; Filatov Children’s Hospital
编辑信件的主要联系方式.
Email: mokrushina@yandex.ru
ORCID iD: 0000-0003-4444-6103
SPIN 代码: 5998-7470
Dr. Sci. (Med.), Professor, Deputy medical director; Professor of Pediatric Surgery Department
俄罗斯联邦, Moscow; MoscowAlexandr Razumovskiy
Pirogov Russian National Research Medical University; Filatov Children’s Hospital
Email: 1595105@mail.ru
ORCID iD: 0000-0002-9497-4070
SPIN 代码: 3600-4701
Dr. Sci. (Med.), Corresponding member of RAS, Head of Department of Pediatric Surgery, Head of thoraco-abdominal Department
俄罗斯联邦, Moscow; MoscowElena Yudina
Filatov Children’s Hospital
Email: elena-ioudina@yandex.ru
ORCID iD: 0000-0002-0157-6189
Dr. Sci. (Med.), Prenatal Diagnostics Specialist of State Budgetary Public Health Institution
俄罗斯联邦, MoscowIvan Afukov
Pirogov Russian National Research Medical University; Filatov Children’s Hospital
Email: afukovdoc@yandex.ru
ORCID iD: 0000-0001-9850-6779
SPIN 代码: 4284-4702
Cand. Sci. (Med.), Deputy Medical Director, resuscitator, Assistant Professor of Pediatric Surgery Department
俄罗斯联邦, Moscow; MoscowVasiliy Shumikhin
Pirogov Russian National Research Medical University; Filatov Children’s Hospital
Email: pennylane@yandex.ru
ORCID iD: 0000-0001-9477-8785
SPIN 代码: 6405-8928
Cand. Sci. (Med.), Head of Neonatal Surgery Department, Assistant Professor of Pediatric Surgery Department
俄罗斯联邦, Moscow; MoscowSvetlana Smirnova
Pirogov Russian National Research Medical University; Filatov Children’s Hospital
Email: swsmirnova@gmail.com
ORCID iD: 0000-0001-9158-4571
SPIN 代码: 8996-7065
Cand. Sci. (Med.), Surgeon of Neonatal Surgery Department, Assistent professor of Pediatric Surgery Department
俄罗斯联邦, Moscow; MoscowElena Zilbert
Pirogov Russian National Research Medical University; Filatov Children’s Hospital
Email: sotalol@mail.ru
ORCID iD: 0000-0003-4170-3733
Cand. Sci. (Med.), Head of the Department of Intensive Care Unit, Assistent Professor of Pediatric Surgery Department
俄罗斯联邦, Moscow; MoscowLubov Petrova
Filatov Children’s Hospital
Email: celine1988@mail.ru
ORCID iD: 0000-0001-8727-5514
SPIN 代码: 8928-4543
Surgeon of Neonatal Surgery Department
俄罗斯联邦, MoscowNadezhda Erokhina
Pirogov Russian National Research Medical University; Filatov Children’s Hospital
Email: nadegdaerokhina@yandex.ru
ORCID iD: 0000-0003-0519-7220
SPIN 代码: 5169-3443
Pediatric Surgery of the Neonatal Department
俄罗斯联邦, Moscow; MoscowRashid Halafov
Pirogov Russian National Research Medical University; Filatov Children’s Hospital
Email: drrash777@gmail.com
ORCID iD: 0000-0001-7998-5639
SPIN 代码: 7141-9649
Cand. Sci. (Med.), Surgeon of Neonatal Surgery Department, Assistant professor of Pediatric Surgery Department
俄罗斯联邦, Moscow; MoscowTatyana Svetlichnaya
Filatov Children’s Hospital
Email: pyera@ya.ru
ORCID iD: 0000-0001-7074-664X
Physician of Intensive Care Unit
俄罗斯联邦, Moscow参考
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