Musculoskeletal deformities after thoracoscopic versus conventional open repair for esophageal atresia.
Asian J Surg
; 47(2): 968-972, 2024 Feb.
Article
en En
| MEDLINE
| ID: mdl-38030485
ABSTRACT
BACKGROUND:
The superiority of thoracoscopic repair (TR) over conventional open repair (COR) for esophageal atresia, especially in terms of long-term outcomes, remains to be investigated. The aim of this study was to compare short- and long-term results between TR and COR group.METHODS:
Patients who underwent TR or COR for esophageal atresia without other predispositions to musculoskeletal deformities (2003-2016) and had been followed up for a minimum of 5 years were retrospectively reviewed. Musculoskeletal deformities (e.g., scoliosis, chest wall asymmetry, and rib deformities) were mainly evaluated based on the most recent chest radiographs.RESULTS:
Nine and eight patients were included in the TR and COR groups, respectively; the mean follow-up period was 8.7 and 11.5 years, respectively (p = 0.14). These groups had similar epidemiological characteristics and rates of postoperative complications. Musculoskeletal deformities developed significantly less frequently in the TR group versus the COR group (11 % vs. 88 %, p < 0.05; scoliosis 0 % vs. 38 %, p = 0.08; chest wall asymmetry 11 % vs. 50 %, p = 0.14; and rib deformities 11 % vs. 88 %, p < 0.05, respectively).CONCLUSION:
TR was associated with a decreased incidence of musculoskeletal deformities and comparable complication rates versus COR for esophageal atresia repair. TR may achieve better long-term outcomes in this setting.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Escoliosis
/
Fístula Traqueoesofágica
/
Atresia Esofágica
Límite:
Humans
Idioma:
En
Revista:
Asian J Surg
Año:
2024
Tipo del documento:
Article