Yan Bin,Wang Zhe,Zhang Yuliang,et al.Analysis of influencing factors for anastomotic stricture after thoracoscopic repair of type Ⅲ congenital esophageal atresia[J].Journal of Clinical Pediatric Surgery,,():35-38.[doi:10.3760/cma.j.cn101785-202410044-007]
Analysis of influencing factors for anastomotic stricture after thoracoscopic repair of type Ⅲ congenital esophageal atresia
- Keywords:
- Esophageal Atresia; Congenital; Thoracoscopy; Postoperative Complications; Surgical Stomas; Constriction; Pathologic; Anastomotic Leak; Root Cause Analysis; Child
- Abstract:
- Objective To explore the influencing factors of anastomotic stricture after thoracoscopy in children with type Ⅲ congenital esophageal atresia (CEA). Methods A retrospective analysis was conducted for clinical data of 33 children with type Ⅲ CEA undergoing thoracoscopy at Guangzhou Women & Children’s Medical Center from January 2017 to January 2021.Patients with dysphagia requiring balloon dilatation during follow-ups were categorized into stricture group while those without these complications were assigned into non-stricture group.Potential influencing factors such as gender,weight,gestational age,gap length and anastomotic leakage were examined for determining their association with postoperative anastomotic stricture. Results Among them,7 cases developed anastomotic stricture.Univariate analysis indicated that postoperative gastroesophageal reflux (χ2=6.046,P=0.014) and anastomotic leakage(χ2=7.757,P=0.005) were significantly associated with anastomotic stricture after thoracoscopy (P<0.05).Multivariate stepwise Logistic regression analysis identified anastomotic leakage (OR=19.167,95%CI:2.868-189.764,P=0.004) as an independent risk factor for postoperative anastomotic stricture in CEA children (P<0.05). Conclusions Anastomotic leakage is an independent risk factor for anastomotic stricture after thoracoscopic repair of type Ⅲ CEA.Optimizing surgical techniques and postoperative managements for preventing anastomotic leakage is crucial for enhancing postoperative quality-of-life in type Ⅲ CEA children.
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Memo
收稿日期:2024-10-18。
基金项目:广州市科技项目(202201020614)
通讯作者:何秋明,Email:qiuminghe@foxmail.com