Li Yingzi,Huang Jinshi,Du Jingbin,et al.Analysis and management of shortterm postoperative complications after esophageal atresia repair.[J].Journal of Clinical Pediatric Surgery,,17():519-522.
Analysis and management of shortterm postoperative complications after esophageal atresia repair.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 07
Page:
519-522
Column:
论著
Date of publication:
2018-07-28
- Keywords:
- Esophageal Atresia; Postoperative Complications; Stomas
- Document code:
- A
- Abstract:
- ObjectiveTo explore the mobility and mortality of anastomotic stricture (AS) and anastomotic leakage (AL) after esophageal atresia (EA) repair.MethodsA retrospective study was conducted for the clinical data of 303 EA patients underwent esophageal anastomosis between January 2007 and December 2016.Type Ⅲ patients were divided into two groups to evaluate the temporal differences between open surgery (OP) and thoracoscopic repair (TR).ResultsGross types of EA were Ⅰ(n=10),Ⅱ(n=4),Ⅲ(n=261),Ⅳ(n=9) and Ⅴ(n=19).There were OR (n=84) and TR (n=177) in type Ⅲ series.For 72 AS cases,OP (n=8) and TR(n=64); for 56 AL cases,OP (n=35) and TR(n=17); for 17 cases of recurrent fistula,OP (n=2) and TR(n=15).By chisquare test,the differences were statistically significant for anastomotic stricture and leakage between OP and TR.No statistical intergroup difference existed in recurrent fistula.ConclusionAnastomotic leakage and structure are two common postoperative complications after EA repair.AL heals spontaneously after conservative measures.Stricture requires subsequent esophageal dilatations.There is a higher morbidity of AS but a lower rate of AL in TR series.Recurrent and yet infrequent TEF requires reoperation by thoracotomy or thoracoscopy.
Last Update:
2018-07-24