کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4159336 1273825 2008 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Thoracoscopic repair of tracheoesophageal fistulas: a case–control matched study
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
پیش نمایش صفحه اول مقاله
Thoracoscopic repair of tracheoesophageal fistulas: a case–control matched study
چکیده انگلیسی

IntroductionTo date, there is no comparative study of thoracoscopic repair (TR) vs conventional open repair (COR) for tracheoesophageal fistula (TEF). The aim of the study was to compare the 2 techniques in neonates with TEF.MethodsA multi-institutional case-control study of cases of TEF was undertaken. The minimum follow-up was 6 months. Patients were considered for TR based on surgeon's preference. Cases were frequency matched on a 1:1 ratio based on gestational age and weight. Outcomes of interest were operative time, postoperative leaks, and postoperative stricture development. Statistical analysis using univariate analysis was performed.ResultsTwenty-three neonates underwent TR. There were no differences between TR and COR groups with regard to weight and gestational age. The distribution of associated anomalies was similar in both groups. The mean operative time was 149.4 and 179 minutes in TR and COR, respectively (P = .18). Three patients were converted to COR. There were 4 leaks in TR and 3 in COR (P = .728). Inversely, 2 patients in the TR group developed a stricture necessitating dilation as compared with 4 patients in the COR group (P = .414).ConclusionThoracoscopic repair of TEF is safe and comparable with conventional open repair.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Surgery - Volume 43, Issue 5, May 2008, Pages 805–809
نویسندگان
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