[New possibilities and results in pediatric thoracic surgery]. / Uj lehetóségek és eredményeink a gyermek-mellkassebészetben.

In the last 5 years 104 thoracic operations were performed on children and adolescents in the 3rd Surgical Clinic of the Semmelweis University of Budapest and in the Heim Pál Children's Hospital by the authors. The number of the lung interventions was 47 and 57 operations were performed on the mediastinum, thoracic wall, pleura, trachea and on the diaphragm. Distribution ot the lung operations: 21 developmental malformations, 14 bronchiectasia, 9 tumours and 3 others. All the 16 mediastinal operations were performed because of tumours. The others were: 27 thoracic wall interventions, 11 pleural, and 3 other operations. All the operations were performed by the same surgeon. Authors introduced new techniques in the pediatric thoracic surgery in their country as the laser technique and the Video Assisted Thoracic Surgery. One reoperation was performed because of postoperative bleeding. No patients died in the postoperative period.

Long-term outcome of congenital cystic adenomatoid malformation.

To determine the long-term outcome of congenital cystic adenomatoid malformation (CCAM), the records of all patients with CCAM treated in three Hungarian paediatric surgical centers between 1977 and 1996 were reviewed. Patients were followed for up to 20 years following diagnosis and treatment. In 20 patients CCAM was diagnosed postnatally and in 3 prenatally. Biodata including the operative procedures are presented. Follow-up findings between 18 months and 20 years after diagnosis showed better height and weight growth in patients operated upon in later childhood compared with those operated upon in infancy. The older the patient at the time of diagnosis, the better was the long-term outcome.

[Aortopexy as a surgical treatment method in infantile congenital tracheo-chondrohypoplasia and tracheomalacia]. / Aortopexia, mint a csecsemökori congenitalis tracheo-chondrohypoplasia és a tracheomalatia mütéti kezelése.

Congenital tracheal chondrohypoplasia and tracheomalacia have come to present a significant challenge in recent paediatric surgery. Authors shortly describe their pathology, pathophysiology, symptoms, diagnostic evaluation and outline the most frequency surgical procedures for them. The first three aortopexies in the authors' departments are described in this paper, with particular attention paid to the clinical problems of congenital tracheal chondrohypoplasia and tracheomalacia and the role of this method in surgical treatment, respectively. Aortopexy is quick, easy to carry out and atraumatic for the growing trachea. Authors want to draw attention to the fact that not every form of congenital tracheal chondrohypoplasia and tracheomalacia may be treated by conservative therapy, and that surgical treatment is recommended not only for life threatening forms, but for other severe forms as well.