Thoracoscopic ligation of a tracheoesophageal H-type fistula in a newborn

被引:22
作者
Aziz, GA [1 ]
Schier, F [1 ]
机构
[1] Univ Mainz, Med Ctr, Dept Pediat Surg, D-55101 Mainz, Germany
关键词
thoracoscopy; H-type fistula; thoracosopic repair; 2mm instruments;
D O I
10.1016/j.jpedsurg.2005.03.037
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
An H-type fistula represents the isolated form of tracheoesophageal fistula, and it is relatively uncommon. Conventional thoracotomy is associated with significant late sequelae; scapula alata, scoliosis, and excessive scarring [Konkin DE, O'hali WA, Webber EM, Blair GK. Outcomes in esophageal atresia and tracheoesophageal fistula. J Pediatr Surg 2003;38:1726-9]. Thoracoscopic approaches avoid these consequences. Thoracoscopic repair of esophageal atresia, together with fistula ligation, has been performed earlier [van der Zee DC, Bax NM. Thoracoscopic repair of esophageal atresia with distal fistula. Surg Endosc 2003;17:1065-7]. Thoracoscopic repair of H-type fistula was not attempted before. This is probably because most H-type fistulas are high enough to be accessible through a neck incision. Low fistulas are better approached via the thorax. To our knowledge, this is the first report of a thoracoscopic approach to an H-type tracheoesophageal fistula in a newborn. (c) 2005 Elsevier Inc. All rights reserved.
引用
收藏
页码:E35 / E36
页数:2
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