Video Presentation - 15
Thoracoscopic repair of esaophageal atreasia and tracheaesophageal fistula
M Küçükaydın, NF Aras, AB Öztürk, M Güzel
Erciyes University School of Medicine Department of Pediatric Surgery, Kayseri/Turkey
Aim:
To present our experience with thoracoscopic repair of esophageal atresia and
tracheaesophageal fistula ( EA-TEF).
Material
and Method: A male patient with EA-TEF was underwent thoracoscopic repair. The age at
operation was 3 day-old and his weight was 2600 gr. There were no severe associated
anomalies in the patient. A 4-mm camera and two 3-mm working ports were used and during the procedure right lung was collapsed
by CO2 insufflations at a pressure level of 3-4 mmHg. The fistula
was ligated with a 5/0 vicryl
and divided. Proximal and distal parts of the
esophagus were prepared and anastomosed with interrupted 5/0 vicryl sutures. A 6 Fr NG tube was passed through the stomach and
a chest tube was inserted.
Results:
The mean operation time was 90 minutes. Feeding was started in 1st postoperative day with NG
tube. The mechanical ventilation time was 2 days. Follow up period is 5 months
and uneventful .
Conclusion: In our impression thoracoscopic
repair of EA-TEF is one of the good options if surgeon has enough experience.
Torakoskopik özofagus atrezisi ve trakeoözofageal fistül onarımı
M Küçükaydın, NF Aras, AB Öztürk, M Güzel
Erciyes Üniversitesi Tıp Fakültesi Çocuk Cerrahisi Anabilim Dalı, Kayseri
Amaç: Bu videoda, torakoskopik yaklaşımla onarım
yapılan özofagus atrezisi ve trakeaözofageal fistül (ÖA-TÖF) hastasının
sunulması amaçladık.
Olgu: Üç
günlük erkek hasta, ÖA-TÖF tanısı ile servisimize yatırıldı. Doğum ağırlığı 2600 gr idi. Ek anomali tespit edilmedi.
Ameliyatta bir adet 4 mm kamera ve 2 adet
Bulgular:
Ameliyat süresi yaklaşık 100 dakika idi.
Hasta postoperatif 1. gün NG
tüpten beslenmeye başlandı. Mekanik ventilasyonda kalma süresi 2 gün idi. Hastanın
5 aylık takibinde herhangi bir komplikasyon gelişmedi.
Sonuç:
Bizim kanaatimiz ÖA-TÖF onarımında, eğer cerrah yeterli deneyime sahip ise,
torakoskopik yaklaşım en iyi seçeneklerden birisidir.