Two-Stage Thoracoscopic Repair of Long-Gap Esophageal Atresia Using Internal Traction Is Safe and Feasible
| Autor: | Akihide Tanano, Akinari Hinoki, Kazuki Yokota, Kazuo Oshima, Naruhiko Murase, Kosuke Chiba, Hiroo Uchida, Ryo Shirotsuki, Takahisa Tainaka, Hiroshi Kawashima, Chiyoe Shirota, Yujiro Tanaka, Hizuru Amano |
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| Rok vydání: | 2017 |
| Předmět: |
Male
congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Long gap medicine.medical_treatment Anastomotic Leak Constriction Pathologic 03 medical and health sciences Esophagus 0302 clinical medicine Traction otorhinolaryngologic diseases medicine Humans Esophageal Atresia Retrospective Studies business.industry Thoracoscopy General surgery Anastomosis Surgical Infant Newborn Pediatric Surgeon Traction (orthopedics) Long gap esophageal atresia medicine.disease Surgery Hernia Hiatal 030220 oncology & carcinogenesis Atresia Gastroesophageal Reflux Female 030211 gastroenterology & hepatology business Tracheoesophageal Fistula |
| Zdroj: | Journal of Laparoendoscopic & Advanced Surgical Techniques. 27:71-75 |
| ISSN: | 1557-9034 1092-6429 |
| DOI: | 10.1089/lap.2016.0207 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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