Thoracoscopic intraoperative esophageal close technique for long‐gap esophageal atresia
| Autor: | Ryuichiro Hirose, Satoshi Ieiri, Hiroki Kai |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Dissection (medical) 03 medical and health sciences 0302 clinical medicine Suture (anatomy) Traction medicine Humans Esophagus Esophageal Atresia Lower esophagus Sutures business.industry Anastomosis Surgical Infant Newborn General Medicine Long gap esophageal atresia Esophageal anastomosis medicine.disease Surgery Catheter medicine.anatomical_structure 030220 oncology & carcinogenesis Atresia Female 030211 gastroenterology & hepatology business |
| Zdroj: | Asian Journal of Endoscopic Surgery. 15:240-243 |
| ISSN: | 1758-5910 1758-5902 |
| Popis: | Long-gap esophageal atresia (EA) remains a challenging operative procedure. Several techniques have been reported to resolve the problem of distance between the proximal and distal esophagus. We report a thoracoscopic intraoperative esophageal close technique for long-gap EA. A female neonate was born at 39 weeks of gestation with long-gap EA (five vertebrae). The patient underwent thoracoscopic esophageal anastomosis after esophageal elongation. Careful dissection of the proximal and distal esophagus was performed; however, the distance between them was still long. Extra-thoracic traction sutures were placed at the upper esophagus. Then, a Neraton catheter was inserted trans-orally and the upper esophagus was pushed and opened. An internal traction suture was placed between the Neraton catheter and lower esophagus. The gap between the proximal and distal esophagus could be approximated by pulling the Neraton catheter. Esophageal anastomosis was performed successfully. Our thoracoscopic intraoperative esophageal close technique was simple and useful. |
| Databáze: | OpenAIRE |
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