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Conference Paper: Thoracoscopic repair of oesophageal atresia: experience of 33 patients from two tertiary referral centres

TitleThoracoscopic repair of oesophageal atresia: experience of 33 patients from two tertiary referral centres
Authors
Issue Date2012
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurg
Citation
The 45th Annual Meeting of the Pacific Association of Pediatric Surgeons (PAPS 2012), Shanghai, China, 3-7 June 2012. In Journal of Pediatric Surgery, 2012, v. 47 n. 12, p. 2224-2227 How to Cite?
AbstractBACKGROUND: With advances in minimally invasive surgery, thoracoscopic repair of oesophageal atresia has become popular in many centres worldwide and indeed has been described as the pinnacle of neonatal surgery. Here, we report our experience in two tertiary referral centres. METHODS: Thoracoscopic technique was introduced in 2007. Thus, a retrospective review of all patients diagnosed with oesophageal atresia was carried out. Patients who had thoracoscopic repair were included, and those who had open repair due to co-morbidities were excluded. Patient demographics, operative data, complications, and associated anomalies were noted. RESULTS: A total of thirty-three patients underwent thoracoscopic repair during the time period. Thirty-one were successfully repaired thoracoscopically. Two patients had conversions due to intra-operative instability. The mean body weight of the neonates was 2.58 kg. The mean operative time was 146 min. Three patients suffered from minor anastomotic leaks, which healed on conservative management. Seven patients had anastomotic strictures, which responded successfully to endoscopic dilatation. Two patients died in the post-operative period due to pneumonia. One patient had a recurrent fistula 3 months after the primary repair, and he subsequently underwent a successful second repair. CONCLUSIONS: In experienced hands, thoracoscopic repair of oesophageal atresia is at least as good as open surgery but with less surgical trauma. Standard of post-operative care contributes significantly to post-operative outcome. Thoracoscopic technique is now our preferred approach.
Persistent Identifierhttp://hdl.handle.net/10722/160427
ISSN
2015 Impact Factor: 1.733
2015 SCImago Journal Rankings: 0.802
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorHuang, JSen_US
dc.contributor.authorTao, JFen_US
dc.contributor.authorChen, Ken_US
dc.contributor.authorDai, KLen_US
dc.contributor.authorTao, Qen_US
dc.contributor.authorChan, IHYen_US
dc.contributor.authorChung, HYen_US
dc.contributor.authorLan, LCLen_US
dc.contributor.authorTam, PKHen_US
dc.contributor.authorWong, KKYen_US
dc.date.accessioned2012-08-16T06:11:06Z-
dc.date.available2012-08-16T06:11:06Z-
dc.date.issued2012en_US
dc.identifier.citationThe 45th Annual Meeting of the Pacific Association of Pediatric Surgeons (PAPS 2012), Shanghai, China, 3-7 June 2012. In Journal of Pediatric Surgery, 2012, v. 47 n. 12, p. 2224-2227en_US
dc.identifier.issn0022-3468-
dc.identifier.urihttp://hdl.handle.net/10722/160427-
dc.description.abstractBACKGROUND: With advances in minimally invasive surgery, thoracoscopic repair of oesophageal atresia has become popular in many centres worldwide and indeed has been described as the pinnacle of neonatal surgery. Here, we report our experience in two tertiary referral centres. METHODS: Thoracoscopic technique was introduced in 2007. Thus, a retrospective review of all patients diagnosed with oesophageal atresia was carried out. Patients who had thoracoscopic repair were included, and those who had open repair due to co-morbidities were excluded. Patient demographics, operative data, complications, and associated anomalies were noted. RESULTS: A total of thirty-three patients underwent thoracoscopic repair during the time period. Thirty-one were successfully repaired thoracoscopically. Two patients had conversions due to intra-operative instability. The mean body weight of the neonates was 2.58 kg. The mean operative time was 146 min. Three patients suffered from minor anastomotic leaks, which healed on conservative management. Seven patients had anastomotic strictures, which responded successfully to endoscopic dilatation. Two patients died in the post-operative period due to pneumonia. One patient had a recurrent fistula 3 months after the primary repair, and he subsequently underwent a successful second repair. CONCLUSIONS: In experienced hands, thoracoscopic repair of oesophageal atresia is at least as good as open surgery but with less surgical trauma. Standard of post-operative care contributes significantly to post-operative outcome. Thoracoscopic technique is now our preferred approach.-
dc.languageengen_US
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurg-
dc.relation.ispartofJournal of Pediatric Surgeryen_US
dc.subject.meshEsophageal Atresia - diagnosis - mortality - surgery-
dc.subject.meshEsophageal Stenosis - epidemiology - etiology - physiopathology-
dc.subject.meshPostoperative Complications - mortality - physiopathology-
dc.subject.meshThoracoscopy - adverse effects - methods-
dc.subject.meshTracheoesophageal Fistula - epidemiology - etiology - physiopathology-
dc.titleThoracoscopic repair of oesophageal atresia: experience of 33 patients from two tertiary referral centresen_US
dc.typeConference_Paperen_US
dc.identifier.emailLan, LCL: lancll@hku.hken_US
dc.identifier.emailTam, PKH: paultam@hku.hken_US
dc.identifier.emailWong, KKY: kkywong@hku.hken_US
dc.identifier.authorityTam, PKH=rp00060en_US
dc.identifier.authorityWong, KKY=rp01392en_US
dc.identifier.doi10.1016/j.jpedsurg.2012.09.011-
dc.identifier.pmid23217880-
dc.identifier.scopuseid_2-s2.0-84870668046-
dc.identifier.hkuros202811en_US
dc.identifier.volume47-
dc.identifier.issue12-
dc.identifier.spage2224-
dc.identifier.epage2227-
dc.identifier.isiWOS:000312073400026-
dc.publisher.placeUnited States-
dc.customcontrol.immutablesml 131211-

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