Primary repair of esophageal atresia gross type C via thoracoscopic magnetic compression anastomosis: A case report

被引:1
作者
Zhang, Hong-Ke [1 ]
Li, Xiao-Quan [2 ]
Song, Hong-Xia [2 ]
Liu, Shi-Qi [3 ]
Wang, Fang-Hui [2 ]
Wen, Jian [4 ]
Xiao, Mi [2 ]
Yang, A-Ping [1 ]
Duan, Xu-Feng [2 ]
Gao, Zhen-Zhen [1 ]
Hu, Kai-Lun [1 ]
Zhang, Wei [2 ]
Lv, Yi [5 ]
Zhou, Xi-Hui [2 ]
Cao, Zhen-Jie [1 ]
机构
[1] Xi An Jiao Tong Univ, Affiliated Hosp 1, Dept Pediat Surg, 277 West Yanta Rd, Xian 710061, Shannxi, Peoples R China
[2] Xi An Jiao Tong Univ, Affiliated Hosp 1, Dept Neonatol, Xian 710061, Shannxi, Peoples R China
[3] Xian Childrens Hosp, Dept Neonatal Surg, Xian 710003, Shaanxi, Peoples R China
[4] Xi An Jiao Tong Univ, Affiliated Hosp 1, Dept Anesthesiol, Xian 710061, Shannxi, Peoples R China
[5] Xi An Jiao Tong Univ, Affiliated Hosp 1, Dept Hepatobiliary Surg, Xian 710061, Shannxi, Peoples R China
关键词
Congenital esophageal atresia; Minimal invasive surgery; Thoracoscopic repair; Magnetic compression anastomosis; Primary repair; Case report;
D O I
10.4240/wjgs.v15.i12.2919
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
BACKGROUNDEsophageal 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 SUMMARYA 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 15th day postoperatively, and the magnets were removed on the 23rd day. No leakage existed when the transoral feeding started.CONCLUSIONThoracoscopic magnetic compression anastomosis may be a promising minimally invasive approach for repairing EA.
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