The benefit of stay sutures during thoracoscopic esophagoesophagostomy in patients with esophageal atresia: a technical report

被引:0
|
作者
Akihiro Shimotakahara
Ryo Sueyoshi
Geoffrey J. Lane
Tadaharu Okazaki
Kinya Nishimura
Eiichi Inada
Atsuyuki Yamataka
机构
[1] Juntendo University School of Medicine,Department of Pediatric General and Urogenital Surgery
[2] Juntendo University School of Medicine,Department of Anesthesiology and Pain Medicine
来源
Pediatric Surgery International | 2010年 / 26卷
关键词
Esophageal atresia; Thoracoscopic esophagoesophagostomy; Stay suture;
D O I
暂无
中图分类号
学科分类号
摘要
We report on technical modifications we developed for thoracoscopic esophagoesophagostomy in patients with esophageal atresia. They are: (1) placing stay sutures along the edges of the atretic esophagi and exteriorizing them through the thoracic wall to expose the luminal surfaces of the esophagi nicely and relieve tension on the anastomosis; (2) leaving 1/5 of the length of the distal and proximal ends of the atretic esophagi intact before placing the stay sutures, to avoid retraction of the mucosa into the lumen; (3) making the diameter of the proximal esophagus 1.5–2 times larger than the diameter of the distal esophagus to make the shape of the anastomosis more streamlined without notching.
引用
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页码:443 / 446
页数:3
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