Zhou Chonggao,Li Bo,Zou Chanjuan,et al.Short-term outcomes of one-stage thoracoscopy for esophageal atresia plus tracheomalacia[J].Journal of Clinical Pediatric Surgery,,21():1062-1066.[doi:10.3760/cma.j.cn101785-202204049-012]
Short-term outcomes of one-stage thoracoscopy for esophageal atresia plus tracheomalacia
- Keywords:
- Esophageal Atresia; Tracheomalacia; Thoracoscopy; Surgical Procedures; Operative
- Abstract:
- Objective To evaluate the safety and efficacy of thoracoscopic posterior tracheopexy and esophagus anastomosis for esophageal atresia plus tracheomalacia.Methods From January 2018 to January 2020, 11 cases of esophageal atresia plus moderate (tracheomalcia score:81%-90%) or severe (tracheomalacia score:91%-100%) tracheomalacia were included.All infants underwent thoracoscopic posterior tracheopexy and end-to-end esophageal anastomosis.Postoperative ventilation time, perioperative complications and short-term follow-up outcomes were recorded.Results Posterior tracheopexy and end-to-end esophageal anastomosis were performed under thoracoscopy without any conversion into thoracotomy.Operative duration of posterior tracheopexy was 7(5-8) min and postoperative tracheal intubation time 65(15-189) h without any tracheal injury.Two cases of esophageal fistula were cured with conservative measures.And one child of esophageal stenosis improved after dilatation.During a follow-up period of 12(10-15) months, 1 case of recurrent dyspnea and respiratory infection gradually improved after many hospitalizations.Conclusion Thoracoscopic posterior tracheopexy can improve tracheomalacia anatomically, shorten postoperative ventilation time and prevent the occurrence of tracheomalacia.With a short operative duration, the procedures are both safe and reliable.This new technique is worth a wider popularization.
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Memo
收稿日期:2022-04-14。
基金项目:湖南省卫生健康委课题（202306028536）；湖南省出生缺陷协同防治科技重大专项（2019SK1010）
通讯作者:李碧香,Email:920634436@qq.com