Holland A J, Ford W D, Guerin R L
Department of Paediatric Surgery, Women's and Children's Hospital, Adelaide, South Australia, Australia.
J Pediatr Surg. 1998 Apr;33(4):657-9. doi: 10.1016/s0022-3468(98)90340-2.
Recurrent tracheoesophageal fistula may complicate primary repair of congenital tracheoesophageal fistula. Standard treatment involves repair via a right lateral thoracotomy and use of adjacent soft tissues to separate the suture lines of the fistulous openings. The authors describe an alternative approach via a median sternotomy, which improves access, reduces the operating time required to identify the recurrent fistula, and enables the use of a pedicled sternocleidomastoid muscle flap to decrease the risk of refistulization.
复发性气管食管瘘可能使先天性气管食管瘘的一期修复复杂化。标准治疗方法包括经右侧开胸手术修复，并使用相邻软组织分离瘘口的缝合线。作者描述了一种经正中胸骨切开术的替代方法，该方法改善了手术视野，减少了识别复发性瘘所需的手术时间，并能够使用带蒂胸锁乳突肌瓣来降低再次形成瘘的风险。
