Thoracoscopic intraoperative esophageal close technique for long‐gap esophageal atresia
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- Satoshi Ieiri
- Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima Japan
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- Hiroki Kai
- Department of Pediatric Surgery National Hospital Organization Kyushu Medical Center Fukuoka Japan
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- Ryuichiro Hirose
- Department of General Thoracic, Breast, Pediatric Surgery, Faculty of Medicine Fukuoka University Fukuoka Japan
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説明
<jats:title>Abstract</jats:title><jats:p>Long‐gap esophageal atresia (EA) remains a challenging operative procedure. Several techniques have been reported to resolve the problem of distance between the proximal and distal esophagus. We report a thoracoscopic intraoperative esophageal close technique for long‐gap EA. A female neonate was born at 39 weeks of gestation with long‐gap EA (five vertebrae). The patient underwent thoracoscopic esophageal anastomosis after esophageal elongation. Careful dissection of the proximal and distal esophagus was performed; however, the distance between them was still long. Extra‐thoracic traction sutures were placed at the upper esophagus. Then, a Neraton catheter was inserted trans‐orally and the upper esophagus was pushed and opened. An internal traction suture was placed between the Neraton catheter and lower esophagus. The gap between the proximal and distal esophagus could be approximated by pulling the Neraton catheter. Esophageal anastomosis was performed successfully. Our thoracoscopic intraoperative esophageal close technique was simple and useful.</jats:p>
収録刊行物
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- Asian Journal of Endoscopic Surgery
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Asian Journal of Endoscopic Surgery 15 (1), 240-243, 2021-05-02
Wiley
