Schickedanz H, Clausner A, Mohr F, Giggel S, Schleicher C
Klinik und Poliklinik für Chirurgie, Bereichs Medizin der Friedrich-Schiller-Universität Jena.
Zentralbl Chir. 1990;115(19):1219-28.
The first successfully operated newborn with esophageal atresia dates back more than 55 years. During this period the concept of the unity of structure and function for surgical treated malformations has been retained. Primary anastomosis offers the best prerequisites. Main life threatening complications are leakage of the anastomosis, anastomotic strictures and gastroesophageal reflux. Avoiding vital complications the aim of undisturbed function can be achieved by appropriate surgical methods. The report describes own experiences over the past 20 years.
首例成功接受手术治疗的食管闭锁新生儿可追溯到55年多以前。在此期间,手术治疗畸形时结构与功能统一的概念一直得以保留。一期吻合术提供了最佳前提条件。主要的危及生命的并发症是吻合口漏、吻合口狭窄和胃食管反流。通过适当的手术方法避免严重并发症,就可以实现功能不受干扰的目标。本报告描述了过去20年的自身经验。