PDF(Pubmed)
Abstract：
BACKGROUND: Esophageal atresia (EA) is a life-threatening congenital malformation in newborns, and the traditional repair approaches pose technical challenges and are extremely invasive. Therefore, surgeons have been actively investigating new minimally invasive techniques to address this issue. Magnetic compression anastomosis has been reported in several studies for its potential in repairing EA. In this paper, the primary repair of EA with magnetic compression anastomosis under thoracoscopy was reported.
METHODS: A full-term male weighing 3500 g was diagnosed with EA gross type C. The magnetic devices used in this procedure consisted of two magnetic rings and several catheters. Tracheoesophageal fistula ligation and two purse strings were performed. The magnetic compression anastomosis was then completed thoracoscopically. After the primary repair, no additional operation was conducted. A patent anastomosis was observed on the 15th day postoperatively, and the magnets were removed on the 23rd day. No leakage existed when the transoral feeding started.
CONCLUSIONS: Thoracoscopic magnetic compression anastomosis may be a promising minimally invasive approach for repairing EA.
METHODS: A full-term male weighing 3500 g was diagnosed with EA gross type C. The magnetic devices used in this procedure consisted of two magnetic rings and several catheters. Tracheoesophageal fistula ligation and two purse strings were performed. The magnetic compression anastomosis was then completed thoracoscopically. After the primary repair, no additional operation was conducted. A patent anastomosis was observed on the 15th day postoperatively, and the magnets were removed on the 23rd day. No leakage existed when the transoral feeding started.
CONCLUSIONS: Thoracoscopic magnetic compression anastomosis may be a promising minimally invasive approach for repairing EA.
摘要：
背景：食管闭锁（EA）是新生儿中危及生命的先天性畸形，传统的修复方法带来了技术挑战，并且极具侵入性。因此,外科医生一直在积极研究新的微创技术来解决这个问题。在一些研究中已经报道了磁压缩吻合在修复EA中的潜力。在本文中,报告了胸腔镜下磁压吻合术对EA的初次修复。
方法：一名体重为3500g的足月男性被诊断为EAgrossC型。该程序中使用的磁性装置由两个磁性环和几个导管组成。进行气管食管瘘结扎术和两个荷包串。然后通过胸腔镜完成磁压缩吻合。初次修复后,没有进行额外的手术。术后第15天观察到吻合通畅，磁铁在第23天被移除。经口喂养开始时不存在渗漏。
结论：胸腔镜下磁压吻合术可能是修复EA的一种有前途的微创方法。
方法：一名体重为3500g的足月男性被诊断为EAgrossC型。该程序中使用的磁性装置由两个磁性环和几个导管组成。进行气管食管瘘结扎术和两个荷包串。然后通过胸腔镜完成磁压缩吻合。初次修复后,没有进行额外的手术。术后第15天观察到吻合通畅，磁铁在第23天被移除。经口喂养开始时不存在渗漏。
结论：胸腔镜下磁压吻合术可能是修复EA的一种有前途的微创方法。
