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.
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。