胸腔镜下使用聚乙二醇酸片-加强型吻合器修复成人先天性气管食管瘘。

School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80756, Taiwan.

Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80756, Taiwan.

Medicina (Kaunas). 2022 Jun 23;58(7):843. doi: 10.3390/medicina58070843.

Congenital tracheoesophageal fistula (TEF) without esophageal atresia is usually diagnosed and treated in the neonatal period. It is uncommon to occur in adulthood. Conventional treatment of adult-onset TEF involves repair by either cervicotomy or thoracotomy. We reported the case of a 31-year-old male patient with clinical and radiographic evidence of congenital H-type TEF. Although this fistula was located at the level of the second thoracic vertebra, the repair of the anomaly was performed successfully using a thoracoscopic approach with the novel use of a polyglycolic acid sheet reinforcement.

先天性气管食管瘘（TEF）而无食管闭锁通常在新生儿期诊断和治疗。在成年期很少见。成人先天性 TEF 的常规治疗方法包括经颈切开术或开胸术修复。我们报告了一例 31 岁男性患者，其临床表现和影像学检查均提示存在先天性 H 型 TEF。尽管该瘘管位于第 2 胸椎水平，但通过使用新型聚乙二醇酸片加固的胸腔镜方法成功地修复了该畸形。