J.Jpn. Surg. Soc.. 83(9): 833-836, 1982

---

Report on the annual meeting

SOME PROBLEMS OF DIAGNOSIS AND TREATMENT IN THE FIELD OF PEDIATRIC THORACIC SURGERY

In order to evaluate some problems as to diagnosis and treatment in the field of pediatric thoracic surgery excluding cardiovascular surgery, 258 patients who were operated on in our clinic have been analyzed and discussed. Furthermore, 102 cases of newborn and early infant have also been carried out a manometric study and 24-hr pH monitoring of the gastroesophageal junction for the purpose of determining a development of lower esophageal sphincter (LES) mechanism and a standardization of gastroesophageal reflux (GER).
By diagnosing pulmonary and mediastinal lesions such as cyst and tumor, CT-scans were most available among other diagnostic modalities and also helpful for follow-up study of malignant tumors. Regarding operative procedures for congenital pulmonary cyst, preservation procedure consisted of pulmonary cystotomy or cystectomy with a ligation of the communicating bronchus have got better result than that of lobectomy. Operative results of 18 cases with Bochdalek's hernia within 24 hr of life have still remained high as a mortality of 50%, because of PFC. For detecting GER associated with chalasia and hiatal hernia, and after repairing esophageal atresia, manometric study and pH monitoring were valid and also useful evaluating an operative effect of antirefux procedure. Based upon our studies of development of the LES, it was presumed that its completion may be over 2 or 3 weeks after life.

---

---

To read the PDF file you will need Adobe Reader installed on your computer.