Open Versus Thoracoscopic Repair of Congenital Diaphragmatic Hernia: A 19-Year Review in a Tertiary Referral Centre in Hong Kong

jpedsurg.org

Congenital diaphragmatic hernia (CDH) is a developmental defect that causes herniation of abdominal organs into the thoracic cavity with significant morbidity. Thoracoscopic repair of CDH is an increasingly prevalent yet controversial surgical technique, with limited long-term outcome data in the Asian region. The aim of this study was to compare open laparotomy versus thoracoscopic repair of CDH in paediatric patients in a major tertiary referral centre in Asia.

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Article · Dec 2023 · 1 min read

In brief

This retrospective study compares open laparotomy versus thoracoscopic approaches for repairing congenital diaphragmatic hernia in pediatric patients over 19 years at a Hong Kong tertiary center. The research addresses the limited long-term outcome data for thoracoscopic CDH repair in Asian populations.

CDH causes herniation of abdominal organs into the chest, leading to significant morbidity in affected infants.
Thoracoscopic repair is increasingly used but remains controversial due to limited long-term outcome data.
This study compares open laparotomy vs thoracoscopic approaches in an Asian tertiary center over 19 years.
Long-term outcome data for thoracoscopic CDH repair in Asian populations is particularly limited.
Choice between open and minimally invasive repair remains an active area of surgical debate in pediatrics.

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