Journal of pediatric surgery · 2026
Current Controversies in the Management of Congenital Lung Malformations: A Report from the Congenital Lung Malformation Study Group.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Schwab Marisa E, Carlson April A, Vaughn Cortnie R, Lee Sara L, Chara Alejandro O, Lake Emily, Cass Darrell L, Duron Vincent P, Sun Raphael C, Maloney Caroline W, Demehri Farokh R, Zamora Irving J, Kunisaki Shaun M, Congenital Lung Malformation Study Group
Аннотация
BACKGROUND: There remains considerable variability in the management of congenital lung malformations (CLMs). The CLM Study Group organized a breakout session at the American Pediatric Surgical Association 2026 Annual Meeting to address current controversies in CLM care.
METHODS: An expert panel of pediatric surgeons from the United States facilitated discussions on three controversial topics: 1) the role and utility of fetal MRI in the prenatal diagnostic evaluation, 2) non-operative management of asymptomatic CLMs, and 3) indocyanine green (ICG) as an emerging adjunct to enable lung-sparing resection. A live audience was polled before each discussion, and perspectives from a parent advocate with an international online following were included.
RESULTS: Proponents of routine MRI cited superior lesion characterization and usefulness during prenatal counseling, but its impact on prenatal management appears to be minimal in most cases. Twenty percent (16/79) of respondents obtained an MRI in every patient whereas 48% (38/79) ordered it selectively. Resection of all CLMs, irrespective of size and subtype, had broad support for mitigating infectious and other long-term morbidities given current limitations in risk prognostication and imaging surveillance. However, 25% (18/71) of respondents reported routine non-operative management of selected asymptomatic CLMs. ICG-guided lung resection has been successfully employed, with 8% (5/63) currently using it intraoperatively.
CONCLUSION: This breakout session offered a contemporary, expert-driven snapshot of practice patterns on three of the most controversial topics in the management of CLMs. Further prospective multicenter studies of these topics are warranted.
METHODS: An expert panel of pediatric surgeons from the United States facilitated discussions on three controversial topics: 1) the role and utility of fetal MRI in the prenatal diagnostic evaluation, 2) non-operative management of asymptomatic CLMs, and 3) indocyanine green (ICG) as an emerging adjunct to enable lung-sparing resection. A live audience was polled before each discussion, and perspectives from a parent advocate with an international online following were included.
RESULTS: Proponents of routine MRI cited superior lesion characterization and usefulness during prenatal counseling, but its impact on prenatal management appears to be minimal in most cases. Twenty percent (16/79) of respondents obtained an MRI in every patient whereas 48% (38/79) ordered it selectively. Resection of all CLMs, irrespective of size and subtype, had broad support for mitigating infectious and other long-term morbidities given current limitations in risk prognostication and imaging surveillance. However, 25% (18/71) of respondents reported routine non-operative management of selected asymptomatic CLMs. ICG-guided lung resection has been successfully employed, with 8% (5/63) currently using it intraoperatively.
CONCLUSION: This breakout session offered a contemporary, expert-driven snapshot of practice patterns on three of the most controversial topics in the management of CLMs. Further prospective multicenter studies of these topics are warranted.