Thoracoscopic primary repair is useful for esophageal atresia with tracheoesophageal fistula in neonates with low body weight.
Pediatr Surg Int
; 40(1): 149, 2024 Jun 03.
Article
en En
| MEDLINE
| ID: mdl-38829446
ABSTRACT
PURPOSE:
The surgical indication of thoracoscopic primary repair for esophageal atresia with tracheoesophageal fistula is under debate. The current study aimed to investigate the outcome of thoracoscopic primary repair for esophageal atresia with tracheoesophageal fistula in patients weighing < 2000 g and those who underwent emergency surgery at the age of 0 day.METHODS:
The surgical outcomes were compared between patients weighing < 2000 g and those weighing > 2000 g at surgery and between patients who underwent surgery at the age of 0 day and those who underwent surgery at age ≥ 1 day.RESULTS:
In total, 43 patients underwent thoracoscopic primary repair for esophageal atresia with tracheoesophageal fistula. The surgical outcomes according to body weight were similar. Patients who underwent surgery at the age of 0 day were more likely to develop anastomotic leakage than those who underwent surgery at the age of ≥ 1 day (2 vs. 0 case, p = 0.02). Anastomotic leakage was treated with conservative therapy.CONCLUSION:
Thoracoscopic primary repair is safe and useful for esophageal atresia with tracheoesophageal fistula even in newborns weighing < 2000 g. However, emergency surgery at the age of 0 day should be cautiously performed due to the risk of anastomotic leakage.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Toracoscopía
/
Fístula Traqueoesofágica
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Atresia Esofágica
Límite:
Female
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Humans
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Male
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Newborn
Idioma:
En
Revista:
Pediatr Surg Int
/
Pediatr. surg. int
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Pediatric surgery international
Asunto de la revista:
PEDIATRIA
Año:
2024
Tipo del documento:
Article
País de afiliación:
Japón