Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Ann Thorac Surg. 2010 Jun;89(6):2019-22. doi: 10.1016/j.athoracsur.2009.11.021.
In the few surviving cases of tracheal agenesis, infants have not been capable of oral intake because the esophagus was used as a substitute for the trachea. We performed a three-stage reconstruction of the airway and alimentary tract in an infant with tracheal agenesis. This procedure involved a double cervical esophagostomy followed by an anastomosis of the upper mid-esophagus and carinal trachea. Finally, the esophagus was reconstructed by an anastomosis of the cervical esophagus to the lower esophagus. This novel procedure may become a highly effective surgical treatment for some infants in critical condition due to tracheal agenesis.
在少数幸存的气管发育不全病例中，由于食管被用作气管的替代品，婴儿无法进行口腔摄入。我们对一名气管发育不全的婴儿进行了气道和消化道的三阶段重建。该手术涉及双颈段食管造口术，然后吻合中上段食管和隆突段气管。最后，通过颈段食管与下段食管吻合重建食管。对于因气管发育不全而处于危急状态的一些婴儿来说，这种新的手术方法可能成为一种非常有效的治疗方法。
