Thoracoscopic Repair of Esophageal Atresia with Fistula: Initial Experience

Martinez-Ferro, Marcelo; Elmo, Gastón; Bignon, Horacio

doi:10.1089/109264102321111529

Cited by 9 publications

(1 citation statement)

References 6 publications

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“…[4][5][6] A review of the current literature showed leak rates ranging from 12-22% and stricture rates ranging from 30-50%. [4][5][6]12,13 There were no leaks in our series ( Table 2). One patient (20%) developed stricture at the third postoperative week, which completely resolved with two pneumatic dilatations one month apart.…”

Section: Discussionmentioning

confidence: 56%

Thoracoscopic Repair of Esophageal Atresia and Tracheoesophageal Fistula: Lessons Learned

Nguyen‐Anh

Zainabadi²,

Bui³

et al. 2006

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Section: Discussionmentioning

confidence: 56%

Thoracoscopic Repair of Esophageal Atresia and Tracheoesophageal Fistula: Lessons Learned

Nguyen‐Anh

Zainabadi²,

Bui³

et al. 2006

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Thoracoscopic Repair of Esophageal Atresia without Fistula

Martinez-Ferro¹

Endoscopic Surgery in Infants and Children

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Thoracoscopic diaphragmatic procedures under artificial pneumothorax

et al. 2004

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Diaphragmatic plication is technically simple using a conventional operative technique, but it requires a large skin incision and rib injury. We present an alternative technique for thoracoscopic plication of the diaphragm and evaluate the advantages of the procedure. Six patients (five with diaphragmatic eventration and one with diaphragmatic hernia with a sac) ranging in age from 8 to 20 months were treated by this method. Three of the six cases were right-sided, and three were left-sided. The operation was performed under artificial pneumothorax using carbon dioxide gas at 4 mmHg. Three trocars for laparoscopy were inserted at the 4th and 5th intercostal spaces. An adequate operative view was obtained by pressing the diaphragm throughout the operation. The eventrated diaphragm was plicated with several rows of nonabsorbable sutures in the anterolateral-to-posterolateral direction to prevent injury to the main phrenic nerve. A tight diaphragm was confirmed by decompressing the artificial pneumothorax. The technique was successfully performed in all cases, and the patients' postoperative courses were uneventful. During the operation, the hemodynamic effects of carbon dioxide gas at 4 mmHg were minimal. Over a mean follow-up period of 3.1 years (range, 1-6 years), no recurrence of diaphragmatic eventration was seen. Judging from the satisfactory postoperative course, this procedure is suitable for children with all forms of diaphragmatic eventration.

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Thoracoscopic Repair of Esophageal Atresia with Fistula: Initial Experience

Cited by 9 publications

References 6 publications

Thoracoscopic Repair of Esophageal Atresia and Tracheoesophageal Fistula: Lessons Learned

Thoracoscopic Repair of Esophageal Atresia and Tracheoesophageal Fistula: Lessons Learned

Thoracoscopic Repair of Esophageal Atresia without Fistula

Thoracoscopic diaphragmatic procedures under artificial pneumothorax

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