Tian Song,Li Yan,Chen Jiaying,et al.Thoracoscopic repair of giant congenital diaphragmatic hernia with bovine pericardial patch[J].Journal of Clinical Pediatric Surgery,,22():1077-1081.[doi:10.3760/cma.j.cn101785-202203020-014]
Thoracoscopic repair of giant congenital diaphragmatic hernia with bovine pericardial patch
- Keywords:
- Congenital Diaphragmatic Hernia; Bovine Pericardial Patch; Thoracoscopy; Surgical Procedures; Operative; Child
- Abstract:
- Objective To investigate the feasibility and safety of repair large congenital diaphragmatic hernia with bovine pericardial mesh under thoracoscopy,and to evaluate the long-term efficacy of diaphragmatic hernia surgery.Methods From June 2018 to January 2020,the clinical data of 5 cases with large CDH were collected.All the patients were repaired with bovine pericardial patch under thoracoscope,and were followed up by outpatient service or telephone after discharge.To analyze the perioperative data,operation status and follow-up results,and evaluate the effect of repair giant congenital diaphragmatic hernia with bovine pericardial mesh under thoracoscopy.Results Four cases showed left diaphragmatic hernia,one case presented right diaphragmatic hernia.All 5 case were giant diaphragmatic hernias without hernia sac,four neonates had a"C"defect,one neonate had a"D"defect.All patients were repaired with bovine pericardium patch thoracotomy,The operative time ranged from 120 to 210minutes (mean,160minutes),and hospitalization time was 23-50 d(mean,34 d).None of them died during perioperative period.During a follow up period of 1 to 3 years,there was no recurrence cases,chest radiographs showed good growth of diaphragm and lung,normal mediastinum,and good growth and development of the child.Conclusions Thoracoscopic repair large CDH with bovine pericardial patch is safe and effective,and can be used as an effective means to repair giant congenital diaphragmatic hernia.
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Memo
收稿日期:2022-3-8。
基金项目:广东省科技厅科技计划项目(2017ZC0315)
通讯作者:葛午平,Email:gewupingdoctor@sina.com