Lipshutz G S, Albanese C T, Jennings R W, Bratton B J, Harrison M R
Fetal Treatment Center, Department of Surgery, University of California, San Francisco 94143, USA.
J Pediatr Surg. 1999 Jan;34(1):75-7; discussion 77-8. doi: 10.1016/s0022-3468(99)90232-4.
Treatment options for long gap esophageal atresia without tracheoesophageal fistula generally require several stages over many months. An early neonatal vascularized conduit would allow a tension-free anastomosis, but the precarious blood supply of the neonatal bowel makes mobilization and immediate interposition hazardous. This report describes the successful application of a strategy for primary reconstruction in the neonate using a short piece of colon mobilized into the mediastinum for subsequent delayed anastomosis.
无气管食管瘘的长段食管闭锁的治疗方案通常需要在数月内分几个阶段进行。早期的新生儿带血管蒂管道可实现无张力吻合，但新生儿肠管不稳定的血供使得游离和立即置入存在风险。本报告描述了一种在新生儿中进行一期重建的策略的成功应用，该策略使用一小段游离至纵隔的结肠进行后续延迟吻合。
