Estudio comparativo de las complicaciones postoperatorias inmediatas de la toracoscopia frente a la toracotomía en la escoliosis idiopática infantil
- C. Pérez-Caballero Macarrón
- J. Burgos Flores
- I. Martos Sánchez
- A. Pérez Palomino
- J.L. Vázquez Martínez
- E. Álvarez Rojas
- L. Fernández Pineda
- D. Vellibre Vargas
ISSN: 1695-4033, 1696-4608
Año de publicación: 2006
Volumen: 65
Número: 6
Páginas: 569-572
Tipo: Artículo
Otras publicaciones en: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría ( AEP )
Resumen
Introduction Thoracoscopic surgery has been used for anterior release, discectomy, and fusion in severe scoliosis or kyphosis. The indications of thoracoscopy for the treatment of pediatric spinal deformity are similar to those of thoracotomy-based spinal surgery. Objective We designed a comparative study to observe the immediate complications in the postoperative period after thoracoscopy or thoracotomy for scoliosis in the pediatric population. Material and methods The postsurgical complications of 63 interventions for idiopathic scoliosis over a 10-year period were analyzed. Conventional thoracotomy was used in 37 interventions (59 %) and thoracoscopy was used in 26 (41 %). Results In patients treated with the thoracolumbar endoscopic procedure, oral nutrition was resumed earlier, the mean length of hospital stay was lower, and debit drainage or requirement of surgical drainage were lower. Conclusions Fewer immediate postsurgical complications were observed in scoliosis surgery when thoracoscopy was used.