Zhang Yuxi,Mo Xuming,Sun Jian,et al.The applied study of thoracoscopy during thoracoscopic surgical repair of typeⅢ esophageal atresia with tracheoesophageal fistula.[J].Journal of Clinical Pediatric Surgery,,17():170-173.
The applied study of thoracoscopy during thoracoscopic surgical repair of typeⅢ esophageal atresia with tracheoesophageal fistula.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 03
Page:
170-173
Column:
专题讨论
Date of publication:
2018-03-28
- Keywords:
- Esophageal Atresia; Tracheoesophageal Fistula; Thoracoscopes; Infant; Newborn
- Document code:
- A
- Abstract:
- ObjectiveTo evaluate the value of thoracoscopic surgical repair of typeⅢesophageal atresia with tracheoesophageal fistula.MethodsThe 3trocar thoracoscopic procedures of esophageal anastomosis and fistula ligation were performed for 22 neonates from June 2015 to January 2018.There were 12 boys and 10 girls with a mean birth weight of 2.44±0.68(1.5~4.05）kg and a mean age of 4.27±1.81(2~9) days.All preoperative diagnoses were made based on radiology and esophageal radiological contrast.ResultsExcept for one case of conversion into open thoracotomy，the remainder underwent thoracoscopic surgical repair.The average operative duration was 142.34(118~165) min；the average time of first oral feeding 3.78(3~5) days；the average time of mechanical ventilation 26.54(9~52) hours and average duration of hospitalization 15.41(8~22) days.Eight cases developed anastomotic stricture requiring esophageal dilatation by gastroscopy.Recurrent fistula between esophagus and trachea developed in 2 cases and one patient was cured after 1 week of conservative treatment while another case gave up treatments.ConclusionDespite some existing limitations，thoracoscopic procedure is both safe and effective for typeⅢesophageal atresia with tracheoesophageal fistula.Better outcomes may be achieved with technique refinements.
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