Asian journal of endoscopic surgery · 2025
Thoracoscopic Posterior Tracheopexy After Esophageal Atresia Repair: A Case Report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Makita Satoshi, Uchida Hiroo, Hinoki Akinari, Shirota Chiyoe, Tainaka Takahisa, Amano Hizuru, Yasui Akihiro, Nakagawa Yoichi, Kato Daiki, Maeda Takuya, Ishii Hiroki, Asai Hajime, Murata Yui, Utsunomiya Ami, Jiahui Liu, Yaohui Guo
Аннотация
Esophageal atresia (EA) is frequently associated with tracheomalacia (TM). Recently, the use of posterior tracheopexy (PT) during EA repair for addressing TM has gained attention. Herein, we report a case of thoracoscopic PT in a 6-year-old boy with EA. Due to severe TM, tracheostomy was performed at 51 days of age. At 6 years of age, bronchoscopy still revealed significant collapse of the membranous portion of the trachea, extending from the subglottic area to the carina. Due to its capability to address a wider segment of the airway, thoracoscopic PT was selected for the treatment of TM. Four ports were placed in the right hemithorax, and the membranous portion of the trachea was sutured to the anterior longitudinal spinal ligament using four 3-0 nonabsorbable stitches. The patient was discharged uneventfully on postoperative Day 6. Postoperative computed tomography scan showed improved airway patency, and the patient exhibited resolution of exertional symptoms.