临床小儿外科杂志2018，Vol.17Issue(3)：170-173,189,5.DOI:10.3969/j.issn.1671-6353.2018.03.003
胸腔镜在Ⅲ型食管闭锁合并气管食管瘘修补术中的应用研究
The applied study of thoracoscopy during thoracoscopic surgical repair of typeⅢ esophageal atresia with tracheoesophageal fistula
摘要
Abstract
Objective To evaluate the value of thoracoscopic surgical repair of typeⅢesophageal atresia with tracheoesophageal fistula.Methods The 3-trocar thoracoscopic procedures of esophageal anastomosis and fistula ligation were performed for 22 neonates from June 2015 to January 2018.There were 12 boys and 10 girls with a mean birth weight of 2.44 ±0.68(1.5~4.05)kg and a mean age of 4.27 ±1.81(2~9)days.All pre-operative diagnoses were made based on radiology and esophageal radiological contrast.Results Except for one case of conversion into open thoracotomy,the remainder underwent thoracoscopic surgical repair.The aver-age operative duration was 142.34(118~165)min;the average time of first oral feeding 3.78(3~5)days;the average time of mechanical ventilation 26.54(9~52)hours and average duration of hospitalization 15.41(8~22)days.Eight cases developed anastomotic stricture requiring esophageal dilatation by gastroscopy.Recurrent fistula between esophagus and trachea developed in 2 cases and one patient was cured after 1 week of conserva-tive treatment while another case gave up treatments.Conclusion Despite some existing limitations,thoraco-scopic procedure is both safe and effective for typeⅢesophageal atresia with tracheoesophageal fistula.Better outcomes may be achieved with technique refinements.关键词
食管闭锁/气管食管瘘/胸腔镜/婴儿,新生Key words
Esophageal Atresia/Tracheoesophageal Fistula/Thoracoscopes/Infant/Newborn引用本文复制引用
张玉喜,莫绪明,孙剑,彭卫,戚继荣,武开宏,束亚琴..胸腔镜在Ⅲ型食管闭锁合并气管食管瘘修补术中的应用研究[J].临床小儿外科杂志,2018,17(3):170-173,189,5.基金项目
江苏省妇幼健康科研项目(F201611) （F201611）
