학술논문

Thoracoscopic Stage Internal Traction Repair Reduces Time to Achieve Esophageal Continuity in Long Gap Esophageal Atresia.
Document Type
Case Study
Source
European Journal of Pediatric Surgery. Feb2024, Vol. 34 Issue 1, p36-43. 8p.
Subject
*ORTHOPEDIC traction
*BONE lengthening (Orthopedics)
*MINIMALLY invasive procedures
*SUTURING
*GASTROINTESTINAL surgery
ESOPHAGEAL atresia
Language
ISSN
0939-7248
Abstract
This article compares the management and outcomes of surgical repair for long-gap esophageal atresia (LGOA) between two high-volume tertiary centers in different European countries. The study found differences in the number of surgical procedures, preservation of the native esophagus, and time to achieve esophageal continuity between the two centers. The preservation of the native esophagus is preferred when possible, but some cases may require substitution. The study suggests that thoracoscopic multistaged LGOA repair using internal traction technique can reduce the time to achieve esophageal continuity and hospital stay, while maintaining a similar complication rate. The results highlight the need for centralization of care and cooperation between institutions to improve outcomes for children with LGOA. [Extracted from the article]