ArticlePediatric surgery international2026
25 years of surgery in patients with congenital lung malformations: the Rotterdam experience.
Article in Pediatric surgery international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveThis single-center study aimed to evaluate surgical management of congenital lung malformations (CLM) and its associated perioperative results and short- and long-term outcomes.
methodsWe analyzed data from patients who underwent surgical treatment for CLM. Data were collected within the framework of a structured, prospective longitudinal follow-up program. Length of hospital stay, age at surgery and drain days were analyzed as perioperative outcomes. Surgical approaches and complications were also described.
resultsWe included 80 surgically managed patients with CLM over a 25-year period. Eighty-two percent of patients who underwent resection were symptomatic, with respiratory insufficiency (45%) being the primary reason for intervention. Other symptoms were: reduced exercise tolerance, dyspnea and persistent coughing. Reoperation was needed in 2.5% of cases. Median age at intervention was 108 days (IQR 21-463 ) Surgical approaches included thoracotomy (60%), thoracoscopy (29%), embolization (4%) and other interventions (7%). Median length of postoperative hospitalization was 6 days. During their most recent follow-up visit, 21% of the cohort experienced pulmonary symptoms.
conclusionsA minority of patients with CLM underwent surgical treatment, most of whom were symptomatic. Surgery had low rates of severe complications and a short postoperative stay. Our findings underscore the importance of a long-term management approach.
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