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- Title
Therapeutic strategy for thoracoscopic repair of esophageal atresia and its outcome.
- Authors
Shirota, Chiyoe; Tanaka, Yujiro; Tainaka, Takahisa; Sumida, Wataru; Yokota, Kazuki; Makita, Satoshi; Oshima, Kazuo; Tanaka, Tomoko; Tani, Yukiko; Uchida, Hiroo
- Abstract
<bold>Purpose: </bold>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.<bold>Methods: </bold>Outcomes of radical surgeries for treating congenital EA at our institute from 2013 to 2018 were retrospectively evaluated.<bold>Results: </bold>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.<bold>Conclusion: </bold>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.
- Subjects
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
- Publication
Pediatric Surgery International, 2019, Vol 35, Issue 10, p1071
- ISSN
0179-0358
- Publication type
journal article
- DOI
10.1007/s00383-019-04541-x