التفاصيل البيبلوغرافية
| العنوان: |
Therapeutic strategy for thoracoscopic repair of esophageal atresia and its outcome. |
| المؤلفون: |
Shirota, Chiyoe, Tanaka, Yujiro, Tainaka, Takahisa, Sumida, Wataru, Yokota, Kazuki, Makita, Satoshi, Oshima, Kazuo, Tanaka, Tomoko, Tani, Yukiko, Uchida, Hiroo |
| المصدر: |
Pediatric Surgery International; Oct2019, Vol. 35 Issue 10, p1071-1076, 6p, 1 Diagram, 2 Charts |
| مصطلحات موضوعية: |
ESOPHAGEAL atresia, CHEST endoscopic surgery, SURGICAL complications, LOW birth weight, TRACHELECTOMY, THORACOTOMY, ESOPHAGEAL surgery, DIGESTIVE organ surgery, POSTOPERATIVE period, THORACOSCOPY, TREATMENT effectiveness, RETROSPECTIVE studies, SURGICAL anastomosis |
| مستخلص: |
Purpose: Thoracoscopic repair can be safely performed in most types of congenital esophageal atresia (EA), including in patients with long gap EA or very low birth weight. Accordingly, we performed single- or multistage thoracoscopic repair for various EA types. We aimed to report our therapeutic strategy for thoracoscopic radical surgery for treating EA and its outcome.Methods: Outcomes of radical surgeries for treating congenital EA at our institute from 2013 to 2018 were retrospectively evaluated.Results: Thirty-eight radical surgeries were evaluated: 3 Gross type-A, 1 type-B, 30 type-C, 1 type-D, and 3 type-E. The cervical approach was performed in 5 cases and thoracoscopic esophageal anastomosis in 33, including 26 single-stage (all type-C) and 7 multistage surgeries (3 type-A, 3 type-C, and 1 type-D). There were no cases of thoracotomies or intraoperative thoracoscopic surgery complications. Three cases of minor leakage were conservatively resolved. Three postoperative chylothorax surgeries (9%) and seven balloon dilatations (21%) for anastomotic stenosis were performed.Conclusion: Thoracoscopic radical surgery for treating EA, including single- and multistage procedures, can be performed, except in type-E cases or when the end of the proximal esophagus is located higher than the clavicle. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
