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Date Published: 09/09/2023
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DOI: https://doi.org/10.51298/vmj.v529i2.6451
Issue
Vol. 529 No. 2 (2023)
Section
Các bài báo
How to Cite
Nguyễn, M. K., Tô, M. T., Nguyễn, V. L., Vũ, T. T., Phạm, T. T., & Phạm, D. H. (2023). OUTCOME OF THORACOSCOPIC REPAIR FOR ESOPHAGEAL ATRESIA IN VIETNAM NATIONAL CHILDREN’S HOSPITAL. Vietnam Medical Journal, 529(2). https://doi.org/10.51298/vmj.v529i2.6451

OUTCOME OF THORACOSCOPIC REPAIR FOR ESOPHAGEAL ATRESIA IN VIETNAM NATIONAL CHILDREN’S HOSPITAL

Minh Khôi Nguyễn1,, Mạnh Tuân Tô1, Văn Linh Nguyễn1, Thanh Tú Vũ1, Thanh Tùng Phạm1, Duy Hiền Phạm1
1 Vietnam National Children's Hospital.

Main Article Content

Abstract

Background: Esophageal atresia (EA) is a congenital malformation characterized by the discontinuity of the alimentary canal connecting the pharynx to the stomach. Thoracoscopic repair (TR) for EA was first performed by Lobb (1999) and Rothenberg (2000). In Vietnam, the National Children's Hospital first successfully applied this technique since 2007. HoweVer, so far, there haVe been no studies eValuating the results of TR for EA on a big number of patients and long follow-up time. Subjects and methods: A retrospectiVe descriptiVe study on patients undergoing TR for EA at the National Children's Hospital between January 2019 and January 2022. Results: 67 patients with TR for EA. Male/Female: 2/1. Median weight: 2.7 (2-3.4) kg. EA typeC/A: 64/3. 10.7% long-gap. Median operatiVe time 110 (50-200) minutes. IntraoperatiVe


complications 3%. ConVert to thoracotomy 6%.


Median follow-up time: 20 (5-41) months. PostoperatiVe complications: Anastomotic leakage 8.9%, stricture 31.3%, Recurrent tracheoesophageal fistula 3%, GERD 10%. 1 case of re-operation due to failure of endoscopic dilation. 1 death case. Conclusion: TR is a minimally inVasiVe, feasible, safe interVention technique with good results on treatment of EA.

Article Details

Keywords

Esophageal atresiam, Thoracoscopic esophageal plasty

References

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