Okuyama Hiroomi, Kubota Akio, Oue Takaharu, Kuroda Seika, Nara Keigo, Takahashi Tsuyoshi
Department of Pediatric Surgery, Osaka Medical Center for Maternal & Child Health, Osaka, Japan.
J Pediatr Surg. 2004 Feb;39(2):243-4. doi: 10.1016/j.jpedsurg.2003.10.026.
The authors report on a child with tracheoesophageal fistula secondary to disc battery ingestion. Through a low cervical collar incision with limited sternal split, the fistula was primarily repaired, and the omohyoid muscle and thymus were mobilized to cover the suture lines. There are no signs of recurrent fistula 6 months after the operation. The anterior cervical approach with limited sternal split provided excellent access to the fistula. To the authors' knowledge, this is the first report of successful primary repair of a tracheoesophageal fistula secondary to disk battery ingestion.
作者报告了一名因吞食纽扣电池继发气管食管瘘的儿童。通过低位颈前切口并有限劈开胸骨，对瘘管进行了一期修复，并游离肩胛舌骨肌和胸腺以覆盖缝合线。术后6个月无瘘管复发迹象。有限劈开胸骨的颈前入路为瘘管提供了良好的暴露。据作者所知，这是首例关于吞食纽扣电池继发气管食管瘘成功一期修复的报告。
