2024-03-28T12:43:06Z
https://nagoya.repo.nii.ac.jp/oai
oai:nagoya.repo.nii.ac.jp:00023840
2023-01-16T04:13:50Z
499:500:501
Two-Stage Thoracoscopic Repair of Long-Gap Esophageal Atresia Using Internal Traction Is Safe and Feasible
Tainaka, Takahisa
70698
Uchida, Hiroo
70699
Tanano, Akihide
70700
Shirota, Chiyoe
70701
Hinoki, Akinari
70702
Murase, Naruhiko
70703
Yokota, Kazuki
70704
Oshima, Kazuo
70705
Shirotsuki, Ryo
70706
Chiba, Kosuke
70707
Amano, Hizuru
70708
Kawashima, Hiroshi
70709
Tanaka, Yujiro
70710
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.
journal article
Mary Ann Liebert
2017-01
application/pdf
Journal of Laparoendoscopic & Advanced Surgical Techniques
1
27
71
75
http://doi.org/10.1089/lap.2016.0207
http://hdl.handle.net/2237/26006
1092-6429
https://nagoya.repo.nii.ac.jp/record/23840/files/20161020LAP-2016-0207-Tainaka_1P.pdf
eng
https://doi.org/10.1089/lap.2016.0207
“Final publication is available from Mary Ann Liebert, Inc., publishers http://dx.doi.org/10.1089/lap.2016.0207”.