Exploration of the thoracoscopic treatment of esophageal atresia under high-frequency ventilation
ObjectiveExplore the feasibility and safety of thoracoscopy in the treatment of esophageal atresia under high-frequency oscillatory ventilation (HFOV) mode.MethodsThis was a single-center retrospective analysis. A total of 24 children were divided into the HFOV and the No-HFOV group. The demographic...
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| Language: | English |
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Frontiers Media S.A.
2022-12-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2022.1066492/full |
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| author | Chao Zheng Chao Zheng Yu Lin Yu Lin Yuanbin He Yuanbin He Yong Shen Yong Shen Jiansen Fan Jiansen Fan Yifan Fang Yifan Fang |
| author_facet | Chao Zheng Chao Zheng Yu Lin Yu Lin Yuanbin He Yuanbin He Yong Shen Yong Shen Jiansen Fan Jiansen Fan Yifan Fang Yifan Fang |
| author_sort | Chao Zheng |
| collection | DOAJ |
| description | ObjectiveExplore the feasibility and safety of thoracoscopy in the treatment of esophageal atresia under high-frequency oscillatory ventilation (HFOV) mode.MethodsThis was a single-center retrospective analysis. A total of 24 children were divided into the HFOV and the No-HFOV group. The demographic information, surgical results and relevant experience were analyzed.ResultsAll patients in the HFOV group underwent thoracoscopic esophageal atreplasty with a mean operation duration of 165.8 ± 33.9 min. Two patients had postoperative anastomotic leakage, which was cured after conservative treatment. One child had a recurrent tracheoesophageal fistula, which was closed after endoscopic cauterization. The mean postoperative mechanical ventilation time was 8.83 ± 8.02 days. There was no return of anastomotic leakage or r-TEF after oral feeding. Furthermore, there was no significant difference between the NO-HFOV and the HFOV groups except for the operation time where the HFOV group was shorter than that of the NO-HFOV group.ConclusionThoracoscopic esophageal atresia anastomosis under HFOV ventilation is feasible for patients with severe pulmonary infection, heart malformation, such as patent ductus arteriosus, ventricular septal defect, and poor anesthesia tolerance, but the long-term prognosis still needs further study in a large sample size. |
| first_indexed | 2024-04-11T05:40:41Z |
| format | Article |
| id | doaj.art-e3e42a50d74b47bfa0ec6365b9fe36f1 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-04-11T05:40:41Z |
| publishDate | 2022-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-e3e42a50d74b47bfa0ec6365b9fe36f12022-12-22T05:18:03ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-12-011010.3389/fped.2022.10664921066492Exploration of the thoracoscopic treatment of esophageal atresia under high-frequency ventilationChao Zheng0Chao Zheng1Yu Lin2Yu Lin3Yuanbin He4Yuanbin He5Yong Shen6Yong Shen7Jiansen Fan8Jiansen Fan9Yifan Fang10Yifan Fang11Department of Pediatric Surgery, Fujian Children's Hospital (Fujian Branch of Shanghai Children's Medical Center), Fuzhou, ChinaCollege of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, ChinaDepartment of Pediatric Surgery, Fujian Children's Hospital (Fujian Branch of Shanghai Children's Medical Center), Fuzhou, ChinaCollege of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, ChinaDepartment of Pediatric Surgery, Fujian Children's Hospital (Fujian Branch of Shanghai Children's Medical Center), Fuzhou, ChinaCollege of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, ChinaDepartment of Pediatric Surgery, Fujian Children's Hospital (Fujian Branch of Shanghai Children's Medical Center), Fuzhou, ChinaCollege of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, ChinaDepartment of Pediatric Surgery, Fujian Children's Hospital (Fujian Branch of Shanghai Children's Medical Center), Fuzhou, ChinaCollege of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, ChinaDepartment of Pediatric Surgery, Fujian Children's Hospital (Fujian Branch of Shanghai Children's Medical Center), Fuzhou, ChinaCollege of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, ChinaObjectiveExplore the feasibility and safety of thoracoscopy in the treatment of esophageal atresia under high-frequency oscillatory ventilation (HFOV) mode.MethodsThis was a single-center retrospective analysis. A total of 24 children were divided into the HFOV and the No-HFOV group. The demographic information, surgical results and relevant experience were analyzed.ResultsAll patients in the HFOV group underwent thoracoscopic esophageal atreplasty with a mean operation duration of 165.8 ± 33.9 min. Two patients had postoperative anastomotic leakage, which was cured after conservative treatment. One child had a recurrent tracheoesophageal fistula, which was closed after endoscopic cauterization. The mean postoperative mechanical ventilation time was 8.83 ± 8.02 days. There was no return of anastomotic leakage or r-TEF after oral feeding. Furthermore, there was no significant difference between the NO-HFOV and the HFOV groups except for the operation time where the HFOV group was shorter than that of the NO-HFOV group.ConclusionThoracoscopic esophageal atresia anastomosis under HFOV ventilation is feasible for patients with severe pulmonary infection, heart malformation, such as patent ductus arteriosus, ventricular septal defect, and poor anesthesia tolerance, but the long-term prognosis still needs further study in a large sample size.https://www.frontiersin.org/articles/10.3389/fped.2022.1066492/fullthoracoscopyesophageal atresiahigh-frequency oscillatory ventilationHFOVendoscopic |
| spellingShingle | Chao Zheng Chao Zheng Yu Lin Yu Lin Yuanbin He Yuanbin He Yong Shen Yong Shen Jiansen Fan Jiansen Fan Yifan Fang Yifan Fang Exploration of the thoracoscopic treatment of esophageal atresia under high-frequency ventilation Frontiers in Pediatrics thoracoscopy esophageal atresia high-frequency oscillatory ventilation HFOV endoscopic |
| title | Exploration of the thoracoscopic treatment of esophageal atresia under high-frequency ventilation |
| title_full | Exploration of the thoracoscopic treatment of esophageal atresia under high-frequency ventilation |
| title_fullStr | Exploration of the thoracoscopic treatment of esophageal atresia under high-frequency ventilation |
| title_full_unstemmed | Exploration of the thoracoscopic treatment of esophageal atresia under high-frequency ventilation |
| title_short | Exploration of the thoracoscopic treatment of esophageal atresia under high-frequency ventilation |
| title_sort | exploration of the thoracoscopic treatment of esophageal atresia under high frequency ventilation |
| topic | thoracoscopy esophageal atresia high-frequency oscillatory ventilation HFOV endoscopic |
| url | https://www.frontiersin.org/articles/10.3389/fped.2022.1066492/full |
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