Xia Renpeng,Zhou Chonggao,Li Bixiang,et al.Comparative study of thoracoscopy and thoracotomy for the treatment of type Ⅲ esophageal atresia.[J].Journal of Clinical Pediatric Surgery,,17():179-183.
Comparative study of thoracoscopy and thoracotomy for the treatment of type Ⅲ esophageal atresia.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 03
Page:
179-183
Column:
专题讨论
Date of publication:
2018-03-28
- Document code:
- A
- Abstract:
- ObjectiveTo evaluate the clinical results of thoracoscopy versus thoracotomy for esophageal atresia(EA) and tracheoesophageal fistula(TEF).MethodsThere were 112 cases with EA and TEF from June 2011 to July 2015.54 patients who were underwent thoracoscopy while other 58 underwent thoracotomy.General data with perioperative and postoperative outcomes were retrospectively analyzed between the two groups.ResultsThoracoscopy was completed in 51 cases and there were 3 patients turn to open thoracotomy surgery,4 patients given up postoperative.And 57 cases underwent throughpleural esophageal anastomosis and 1 patient was adjourned in operation because of excessively long gap and needed to do gastrostomy first,another 3 patients relatives given up postoperative.The mean operative time was 138±30 min for thoracoscopyversus 122±23 min for open thoracotomy surgery,There were statistical significance（t=3.206,P<0.001）.The mean time to extubation was 1.68±0.42 versus 1.12±0.23 days.There were statistical significance（t=9.000,P<0.001）；The mean length of inhospital stay was 20.63±3.54 versus 19.75±2.87 days,with no statistical significance (t=1.467,P=0.074).The anastomotic leak rate was 16.7% versus 10.3%.The stricture rate was 9.3% versus 17.2%.The recurrent rate of TEF was 1.9% versus 3.4%.There were no statistical significance(χ2=0.143，P=0.705).ConclusionThe thoracoscopy technique is safe and feasible for typeⅢ EA/TEF,but need to further follow up for the longterm effect.
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