胸腔镜下食管延长术治疗长段食管闭锁

Thoracoscopic elongation of the esophagus in long gap esophageal atresia.

作者信息

van der Zee David C, Vieirra-Travassos Daisy, Kramer William L M, Tytgat Stefaan H A J

机构信息

Department Pediatric Surgery, University Medical Center Utrecht, PO Box 85090, 3508 AB Utrecht, The Netherlands.

出版信息

J Pediatr Surg. 2007 Oct;42(10):1785-8. doi: 10.1016/j.jpedsurg.2007.06.023.

DOI:10.1016/j.jpedsurg.2007.06.023

PMID:17923217

Abstract

Long gap esophageal atresia in which a primary anastomosis cannot be achieved remains a challenge. Elongation of the esophagus by traction on the 2 ends has been previously described. With the advent of thoracoscopic repair of esophageal atresia, there have thus far been no reports of thoracoscopic repair of long gap esophageal atresia. This paper describes the first successful repair of long gap esophageal atresia by thoracoscopic traction of the 2 esophageal ends and delayed thoracoscopic anastomosis.

摘要

无法进行一期吻合的长段食管闭锁仍然是一个挑战。此前已有通过牵拉食管两端来延长食管的描述。随着食管闭锁胸腔镜修复术的出现，迄今为止尚无长段食管闭锁胸腔镜修复术的相关报道。本文描述了首例通过胸腔镜牵拉食管两端并延迟胸腔镜吻合成功修复长段食管闭锁的病例。