食管闭锁C型大体类型的一期修复：胸腔镜下磁压榨吻合术病例报告
Primary repair of esophageal atresia gross type C thoracoscopic magnetic compression anastomosis: A case report.
作者信息
Zhang Hong-Ke, Li Xiao-Quan, Song Hong-Xia, Liu Shi-Qi, Wang Fang-Hui, Wen Jian, Xiao Mi, Yang A-Ping, Duan Xu-Feng, Gao Zhen-Zhen, Hu Kai-Lun, Zhang Wei, Lv Yi, Zhou Xi-Hui, Cao Zhen-Jie
机构信息
Department of Pediatric Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shannxi Province, China.
Department of Neonatology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shannxi Province, China.
出版信息
World J Gastrointest Surg. 2023 Dec 27;15(12):2919-2925. doi: 10.4240/wjgs.v15.i12.2919.
BACKGROUND
Esophageal atresia (EA) is a life-threatening congenital malformation in newborns, and the traditional repair approaches pose technical challenges and are extremely invasive. Therefore, surgeons have been actively investigating new minimally invasive techniques to address this issue. Magnetic compression anastomosis has been reported in several studies for its potential in repairing EA. In this paper, the primary repair of EA with magnetic compression anastomosis under thoracoscopy was reported.
CASE SUMMARY
A full-term male weighing 3500 g was diagnosed with EA gross type C. The magnetic devices used in this procedure consisted of two magnetic rings and several catheters. Tracheoesophageal fistula ligation and two purse strings were performed. The magnetic compression anastomosis was then completed thoracoscopically. After the primary repair, no additional operation was conducted. A patent anastomosis was observed on the 15 day postoperatively, and the magnets were removed on the 23 day. No leakage existed when the transoral feeding started.
CONCLUSION
Thoracoscopic magnetic compression anastomosis may be a promising minimally invasive approach for repairing EA.
背景
食管闭锁（EA）是一种危及新生儿生命的先天性畸形，传统的修复方法存在技术挑战且创伤极大。因此，外科医生一直在积极探索新的微创技术来解决这一问题。多项研究报道了磁性压缩吻合术在修复EA方面的潜力。本文报道了在胸腔镜下采用磁性压缩吻合术对EA进行一期修复。
病例总结
一名体重3500g的足月男性被诊断为C型EA。本手术中使用的磁性装置由两个磁环和几根导管组成。进行了气管食管瘘结扎和两道荷包缝合。然后在胸腔镜下完成磁性压缩吻合术。一期修复后未进行额外手术。术后第15天观察到吻合口通畅，第23天取出磁体。开始经口喂养时无渗漏。
结论
胸腔镜下磁性压缩吻合术可能是一种有前景的EA微创修复方法。
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