Volume 19 Issue 9
Sep.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(9): 1492-1496
ZUO Wei Wei, LIU Xiang Xiang, GAO Wei, ZHANG Yan-min, ZHAO Ping, WU Gong-jing, LI Qing-zhi, WANG Fu-long. Outcomes of thoracoscopy versus thoracotomy for oesophageal atresia with tracheoesophageal fistula repair[J]. Chinese Journal of General Practice, 2021, 19(9): 1492-1496. doi: 10.16766/j.cnki.issn.1674-4152.002094
Citation: ZUO Wei Wei, LIU Xiang Xiang, GAO Wei, ZHANG Yan-min, ZHAO Ping, WU Gong-jing, LI Qing-zhi, WANG Fu-long. Outcomes of thoracoscopy versus thoracotomy for oesophageal atresia with tracheoesophageal fistula repair[J]. Chinese Journal of General Practice, 2021, 19(9): 1492-1496. doi: 10.16766/j.cnki.issn.1674-4152.002094
shu

Outcomes of thoracoscopy versus thoracotomy for oesophageal atresia with tracheoesophageal fistula repair

doi: 10.16766/j.cnki.issn.1674-4152.002094

  • Department of Neonatal Surgery, Anhui Provincial Children's Hospital, Hefei, Anhui 230051, China

Funds:

 2019SEY007

  • Received Date: 2020-09-18
    Available Online: 2022-02-15
    Abstract
  •   Objective  To compare the clinical efficacy of thoracoscopic surgery versus thoracotomy for congenital oesophageal atresia with tracheoesophageal fistula.   Methods  A retrospective analysis was conducted on 101 cases of congenital oesophageal atresia treated by surgery in our hospital from March 2011 to February 2019, which were divided into the thoracoscopic surgery group (50 cases) and open thoracotomy group (51 cases) according to the surgical approaches. The preoperative data, perioperative indicators and postoperative recovery of both groups were compared. At the same time, according to the learning curve, the cases in the thoracoscopic surgery group were divided into early stage and late stage (25 cases each), and the changes of various indicators at different periods and the occurrence of postoperative complications were compared.   Results  (1) No significant difference was observed in the preoperative clinical data in both groups (all P>0.05). (2) Comparison of perioperative conditions in both groups showed that the mean operative time of the thoracoscopic surgery group [(191.42±48.56) min] was slightly longer than that of the open thoracotomy group [(129.02±25.08) min], and the difference was statistically significant (t=8.163, P < 0.001), the time of initial oral feeding was (11.98±2.92) days versus (16.88±4.33) days, and the difference was statistically significant (t=-2.364, P=0.020). (3) Comparison of postoperative complications in both groups showed no significant differences in the incidence of anastomotic leakage, anastomotic stenosis and recurrence rate of tracheoesophageal fistula (all P>0.05). (4) Comparison of the two stages in the thoracoscopic surgery group showed that the operative time and postoperative ventilation time of the late stage were significantly shorter than those of the early stage, and the differences were statistically significant (all P < 0.05). In addition, the incidence of postoperative anastomotic leakage was also decreased significantly, but the difference was not statistically significant (P>0.05).   Conclusion  The effect of thoracoscopic surgery on congenital oesophageal atresia combined with tracheal oesophageal fistula was similar to that of thoracotomy. With the continuous improvement of surgical techniques, the clinical effect may be enhanced.

     

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