التفاصيل البيبلوغرافية
| العنوان: |
Two-Stage Thoracoscopic Repair of Long-Gap Esophageal Atresia Using Internal Traction Is Safe and Feasible. |
| المؤلفون: |
Tainaka, Takahisa, Uchida, Hiroo, Tanano, Akihide, Shirota, Chiyoe, Hinoki, Akinari, Murase, Naruhiko, Yokota, Kazuki, Oshima, Kazuo, Shirotsuki, Ryo, Chiba, Kosuke, Amano, Hizuru, Kawashima, Hiroshi, Tanaka, Yujiro |
| المصدر: |
Journal of Laparoendoscopic & Advanced Surgical Techniques; Jan2017, Vol. 27 Issue 1, p71-75, 5p |
| مصطلحات موضوعية: |
ESOPHAGEAL atresia, CHEST endoscopic surgery, PEDIATRIC surgery, SURGICAL anastomosis, THORACOTOMY, THERAPEUTICS, ESOPHAGEAL surgery, TRACHEAL fistula, GASTROESOPHAGEAL reflux, HERNIA, ORTHOPEDIC traction, SURGICAL complications, THORACOSCOPY, STENOSIS, RETROSPECTIVE studies |
| مستخلص: |
Background: The treatment of long-gap esophageal atresia remains an issue for pediatric surgeons. Many techniques for treating long-gap esophageal atresia have been proposed, but the optimal method has not been established. The thoracoscopic esophageal elongation technique has recently been developed. We previously reported a case in which two-stage thoracoscopic repair was performed using internal esophageal traction without esophageal tearing, and we retrospectively reviewed the outcomes of this procedure in this study.Methods: Five patients underwent thoracoscopic treatment involving internal esophageal traction for esophageal atresia involving a long gap or vascular ring over a 5-year period.Results: Between November 2010 and November 2015, 5 patients were treated with thoracoscopic traction. All of these patients successfully underwent thoracoscopic-delayed primary anastomosis. Conversion to open thoracotomy was not required in any case. The postoperative complications experienced by the patients included minor anastomotic leakage in 2 cases, anastomotic stenosis in 1 case, gastroesophageal reflux (GER) in 4 cases, and a hiatal hernia in 1 case. None of the patients died.Conclusions: Two-stage thoracoscopic repair for esophageal atresia involving a long gap or vascular ring is a safe and feasible procedure; however, we must develop methods for treating minor anastomotic complications and GER due to esophageal traction in future. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
