Pediatric Bronchogenic Cyst Treatment & Management

Updated: Jan 18, 2017
  • Author: Mary E Cataletto, MD; Chief Editor: Girish D Sharma, MD, FCCP, FAAP  more...
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Treatment

Surgical Care

See the list below:

  • Surgical resection of all symptomatic bronchogenic cysts is recommended.

  • In newborns with asymptomatic bronchogenic cysts, surgical intervention is recommended at age 3-6 months, allowing for compensatory lung growth.

  • Thoracoscopic resection has major advantages that include less pain, better cosmesis, and decreased risk of rib fusion. A publication by Polites et al demonstrated that the use of thoracoscopic resection for congenital cystic lung disease is on the rise. The authors did not find any difference in postoperative length of stay nor in complication rates once the data had been adjusted for patient complexity and the amount of resection performed. [13]

  • Temporizing or palliative procedures such as transparietal, transbronchial, or mediastinal puncture and aspiration may be considered in cases in which patients are symptomatic and the situation for complete resection is not optimal.

  • A study by Jung et al evaluated the feasibility and safety of video-assisted thoracic surgery in the management of bronchogenic cysts and reported that video-assisted thoracic surgery was safe and effective. [14]

 

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Consultations

Preoperative anesthesia consultation is recommended, particularly in infants, because of concern with airway compromise and monitoring. Other members of the multidisciplinary teams caring form infants and children with bronchogenic cysts may include the following:

  • Pediatric surgeon

  • Pediatric anesthesiologist

  • Pediatric intensivist

  • Pediatric gastroenterologist and nutritionist

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