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胸腔镜下食管食管吻合术治疗食管闭锁患者的难治性狭窄

Thoracoscopic esophagoesophagostomy for a refractory stricture in a patient with esophageal atresia.

作者信息

Cano Novillo Indalecio, Aneiros Castro Belén, García Vázquez Araceli, de Miguel Moya Mónica, Godoy Lenz Jorge, Gómez Fraile Andrés

机构信息

Department of Pediatric Surgery, Hospital 12 de Octubre, Madrid, Spain.

Department of Anesthesiology, Hospital 12 de Octubre, Madrid, Spain.

出版信息

Minim Invasive Ther Allied Technol. 2020 Aug;29(4):240-243. doi: 10.1080/13645706.2019.1621347. Epub 2019 May 27.

Abstract

Anastomosis stricture is a well-known complication after esophageal atresia repair. Endoscopic dilatation is the gold standard treatment for esophageal stenosis. However, surgical interventions are indicated for refractory cases. We present a 2-year-old girl with esophageal stricture refractory to regular endoscopic dilatation after esophageal atresia repair that underwent thoracoscopic stricture resection and reanastomosis. Although thoracoscopic approach is widely used for esophageal atresia repair, this approach has not been used before for the treatment of anastomosis stricture.

摘要

吻合口狭窄是食管闭锁修复术后一种众所周知的并发症。内镜扩张是食管狭窄的金标准治疗方法。然而,对于难治性病例则需要进行手术干预。我们报告了一名2岁女孩,她在食管闭锁修复术后出现对常规内镜扩张难治的食管狭窄,并接受了胸腔镜下狭窄切除术和重新吻合术。尽管胸腔镜手术方法广泛用于食管闭锁修复,但此前尚未用于治疗吻合口狭窄。

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