临床小儿外科杂志2018，Vol.17Issue(3)：179-183,5.DOI:10.3969/j.issn.1671-6353.2018.03.005
胸腔镜手术与开胸手术治疗Ⅲ型食管闭锁的对比研究
Comparative study of thoracoscopy and thoracotomy for the treatment of type Ⅲ esophageal atresia
夏仁鹏 1周崇高 1李碧香 1王海阳 1许光 1邹婵娟 1马体栋 1赵凡 1肖咏1
作者信息
- 1. 湖南省儿童医院新生儿外科 湖南省长沙市,410007
- 折叠
摘要
Abstract
Objective To evaluate the clinical results of thoracoscopy versus thoracotomy for esophageal atresia(EA)and tracheoesophageal fistula(TEF).Methods There were 112 cases with EA and TEF from June 2011 to July 2015.54 patients who were underwent thoracoscopy while other 58 underwent thoracotomy. General data with perioperative and post-operative outcomes were retrospectively analyzed between the two groups.Results Thoracoscopy was completed in 51 cases and there were 3 patients turn to open thoracotomy surgery,4 patients given up postoperative.And 57 cases underwent through-pleural esophageal anastomosis and 1 patient was adjourned in operation because of excessively long gap and needed to do gastrostomy first,another 3 patients'relatives given up postoperative.The mean operative time was 138 ±30 min for thoracoscopyversus 122 ±23 min for open thoracotomy surgery,There were statistical significance(t =3.206,P <0.001).The mean time to extubation was 1.68 ±0.42 versus 1.12 ±0.23 days.There were statistical significance(t =9.000,P<0.001);The mean length of in-hospital stay was 20.63 ±3.54 versus 19.75 ±2.87 days,with no statistical significance(t=1.467,P=0.074).The anastomotic leak rate was 16.7%versus 10.3%.The stric-ture rate was 9.3%versus 17.2%.The recurrent rate of TEF was 1.9%versus 3.4%.There were no statisti-cal significance(χ2=0.143,P =0.705).Conclusion The thoracoscopy technique is safe and feasible for type-ⅢEA/TEF,but need to further follow up for the long-term effect.关键词
胸腔镜/食管闭锁/食管气管瘘/对比研究Key words
Thoracoscopes/Esophageal Atresia/Tracheoesophageal Fistula/Comparative Study引用本文复制引用
夏仁鹏,周崇高,李碧香,王海阳,许光,邹婵娟,马体栋,赵凡,肖咏..胸腔镜手术与开胸手术治疗Ⅲ型食管闭锁的对比研究[J].临床小儿外科杂志,2018,17(3):179-183,5.
