A contemporary evaluation of pulmonary function in children undergoing lung resection in infancy

Alana Beres, Ann Aspirot, Catherine Paris, Denis Berube, Sarah Bouchard, Jean Martin Laberge, Larry C. Lands, Pramod Puligandla

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

Background/Purpose: 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.

Original languageEnglish (US)
Pages (from-to)829-832
Number of pages4
JournalJournal of Pediatric Surgery
Volume46
Issue number5
DOIs
StatePublished - May 1 2011

Keywords

  • Congenital lung lesion
  • Infant
  • Lung resection
  • Pulmonary function

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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    Beres, A., Aspirot, A., Paris, C., Berube, D., Bouchard, S., Laberge, J. M., Lands, L. C., & Puligandla, P. (2011). A contemporary evaluation of pulmonary function in children undergoing lung resection in infancy. Journal of Pediatric Surgery, 46(5), 829-832. https://doi.org/10.1016/j.jpedsurg.2011.02.012