Saiad Mohamed Oulad
General Pediatric Surgery, Mother and Child Unit, University Hospital Mohamed VI, Cadi Ayyad University, Marrakech, Morocco.
J Indian Assoc Pediatr Surg. 2017 Oct-Dec;22(4):217-219. doi: 10.4103/jiaps.JIAPS_202_16.
Right dorsolateral thoracotomy with splitting or sparing the latissimus dorsi is the standard approach to the esophageal atresia. The thoracoscopic approach to the treatment of esophageal atresia is a demanding procedure used only by few surgeons in few centers. The purpose of this study is to present the modified posterior thoracotomy for neonates with esophageal atresia.
Between January 2007 and May 2016, the modified posterior thoracotomy was performed in 56 neonates with esophageal atresia.
The modified posterior thoracotomy preserves the latissimus dorsi and the thoracodorsal nerve. Neither the latissimus dorsi nor the serratus anterior is mobilized or skin flaps elevated. Satisfactory exposure, functional, and cosmetic results were obtained. No complication related to the approach was encountered.
The modified posterior thoracotomy is a reliable approach in the treatment of esophageal atresia in neonates.
采用劈开或保留背阔肌的右后外侧开胸术是治疗食管闭锁的标准方法。胸腔镜治疗食管闭锁是一种要求较高的手术，只有少数中心的少数外科医生会使用。本研究的目的是介绍一种针对食管闭锁新生儿的改良后外侧开胸术。
2007年1月至2016年5月，对56例食管闭锁新生儿实施了改良后外侧开胸术。
改良后外侧开胸术保留了背阔肌和胸背神经。背阔肌和前锯肌均未游离，也未掀起皮瓣。获得了满意的暴露效果、功能和美容效果。未遇到与手术方法相关的并发症。
改良后外侧开胸术是治疗新生儿食管闭锁的一种可靠方法。
