Clinical comparison between thoracoscopic and thoracotomy repair of Gross type C esophageal atresia

Abstract Background To compare the clinical outcomes between thoracoscopic approach and thoracotomy surgery in patients with Gross type C Esophageal atresia (EA) and tracheoesophageal fistula (TEF). Methods Patients with Gross type C EA/TEF who underwent surgery from January 2007 to January 2020 at...

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Autores principales:	Shen Yang, Peize Wang, Zhi Yang, Siqi Li, Junmin Liao, Kaiyun Hua, Yanan Zhang, Yong Zhao, Yichao Gu, Shuangshuang Li, Yongwei Chen, Jinshi Huang
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Esophageal atresia Thoracoscopic Thoracotomy Comparison Complications Outcome Surgery RD1-811
Acceso en línea:	https://doaj.org/article/876cc25255774eb8b77298c46a18fb0f
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spelling	oai:doaj.org-article:876cc25255774eb8b77298c46a18fb0f2021-11-28T12:07:32ZClinical comparison between thoracoscopic and thoracotomy repair of Gross type C esophageal atresia10.1186/s12893-021-01360-71471-2482https://doaj.org/article/876cc25255774eb8b77298c46a18fb0f2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12893-021-01360-7https://doaj.org/toc/1471-2482Abstract Background To compare the clinical outcomes between thoracoscopic approach and thoracotomy surgery in patients with Gross type C Esophageal atresia (EA) and tracheoesophageal fistula (TEF). Methods Patients with Gross type C EA/TEF who underwent surgery from January 2007 to January 2020 at Beijing Children’s Hospital were retrospectively analyzed. The patients were divided into two groups according to surgical approaches. The perioperative factors and postoperative complications were compared among the two groups. Results One hundred and ninety patients (132 boys and 58 girls) with a median birth weight of 2975 (2600, 3200) g were included. The primary operations were performed via thoracoscopic (n = 62) and thoracotomy (n = 128) approach. After comparison of clinical characteristics between the two groups, we found that there were statistically significant differences in associated anomalies, method of fistula closure, duration of mechanical ventilation after surgery, feeding option before discharge, management of pneumothorax, and prognosis (all P < 0.05). To a certain extent, thoracoscopic surgery reduced the incidence of anastomotic leakage and increased the incidence of anastomotic stricture in this study. However, there were no statistically significant differences between the two groups in terms of operative time, postoperative pneumothorax, anastomotic leakage, anastomotic stricture, and recurrent tracheoesophageal fistula (all P > 0.05). Conclusions Thoracoscopy surgery for Gross type C EA/TEF is a safe and effective, minimally invasive technique with comparable operative time and incidence of postoperative complications.Shen YangPeize WangZhi YangSiqi LiJunmin LiaoKaiyun HuaYanan ZhangYong ZhaoYichao GuShuangshuang LiYongwei ChenJinshi HuangBMCarticleEsophageal atresiaThoracoscopicThoracotomyComparisonComplicationsOutcomeSurgeryRD1-811ENBMC Surgery, Vol 21, Iss 1, Pp 1-5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Esophageal atresia Thoracoscopic Thoracotomy Comparison Complications Outcome Surgery RD1-811
spellingShingle	Esophageal atresia Thoracoscopic Thoracotomy Comparison Complications Outcome Surgery RD1-811 Shen Yang Peize Wang Zhi Yang Siqi Li Junmin Liao Kaiyun Hua Yanan Zhang Yong Zhao Yichao Gu Shuangshuang Li Yongwei Chen Jinshi Huang Clinical comparison between thoracoscopic and thoracotomy repair of Gross type C esophageal atresia
description	Abstract Background To compare the clinical outcomes between thoracoscopic approach and thoracotomy surgery in patients with Gross type C Esophageal atresia (EA) and tracheoesophageal fistula (TEF). Methods Patients with Gross type C EA/TEF who underwent surgery from January 2007 to January 2020 at Beijing Children’s Hospital were retrospectively analyzed. The patients were divided into two groups according to surgical approaches. The perioperative factors and postoperative complications were compared among the two groups. Results One hundred and ninety patients (132 boys and 58 girls) with a median birth weight of 2975 (2600, 3200) g were included. The primary operations were performed via thoracoscopic (n = 62) and thoracotomy (n = 128) approach. After comparison of clinical characteristics between the two groups, we found that there were statistically significant differences in associated anomalies, method of fistula closure, duration of mechanical ventilation after surgery, feeding option before discharge, management of pneumothorax, and prognosis (all P < 0.05). To a certain extent, thoracoscopic surgery reduced the incidence of anastomotic leakage and increased the incidence of anastomotic stricture in this study. However, there were no statistically significant differences between the two groups in terms of operative time, postoperative pneumothorax, anastomotic leakage, anastomotic stricture, and recurrent tracheoesophageal fistula (all P > 0.05). Conclusions Thoracoscopy surgery for Gross type C EA/TEF is a safe and effective, minimally invasive technique with comparable operative time and incidence of postoperative complications.
format	article
author	Shen Yang Peize Wang Zhi Yang Siqi Li Junmin Liao Kaiyun Hua Yanan Zhang Yong Zhao Yichao Gu Shuangshuang Li Yongwei Chen Jinshi Huang
author_facet	Shen Yang Peize Wang Zhi Yang Siqi Li Junmin Liao Kaiyun Hua Yanan Zhang Yong Zhao Yichao Gu Shuangshuang Li Yongwei Chen Jinshi Huang
author_sort	Shen Yang
title	Clinical comparison between thoracoscopic and thoracotomy repair of Gross type C esophageal atresia
title_short	Clinical comparison between thoracoscopic and thoracotomy repair of Gross type C esophageal atresia
title_full	Clinical comparison between thoracoscopic and thoracotomy repair of Gross type C esophageal atresia
title_fullStr	Clinical comparison between thoracoscopic and thoracotomy repair of Gross type C esophageal atresia
title_full_unstemmed	Clinical comparison between thoracoscopic and thoracotomy repair of Gross type C esophageal atresia
title_sort	clinical comparison between thoracoscopic and thoracotomy repair of gross type c esophageal atresia
publisher	BMC
publishDate	2021
url	https://doaj.org/article/876cc25255774eb8b77298c46a18fb0f
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Clinical comparison between thoracoscopic and thoracotomy repair of Gross type C esophageal atresia

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