Pediatric surgery international · 2025
Continuous clamping facilitates distal fistula dissection in thoracoscopic repair of type C esophageal atresia: a novel surgical technique.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Zhu Shichun, Liu Zhenyong, Li Bing
Аннотация
PURPOSE: To determine whether continuous clamping improves distal fistula dissection in thoracoscopic type C esophageal atresia repair.
METHODS: Between January 2019 and May 2024, 31 patients with type C esophageal atresia underwent thoracoscopic repair. Patients were randomly assigned to receive either conventional surgery (control group, n = 16) or surgery with continuous clamping during distal fistula dissection (study group, n = 15). This study compared intraoperative parameters (fistula dissection time, total surgical duration, etc.) and postoperative outcomes (anastomotic leak, anastomotic stenosis, etc.) between groups.
RESULTS: Baseline characteristics did not differ significantly between groups, including gender, age, admission weight, gestational age, and comorbid congenital anomalies (all P > 0.05). The study group demonstrated significantly fewer intraoperative interruptions (1.2 ± 0.3 vs. 5.5 ± 1.3 episodes, P < 0.05), shorter fistula ligation time (15.3 ± 4.5 vs. 32.3 ± 10.6 min), and shorter total operative duration (121.5 ± 13.5 vs. 153.1 ± 15.0 min) compared with the control group (all P < 0.05).
CONCLUSION: Continuous clamping during distal fistula dissection significantly reduces cyanosis-related surgical pauses, shortens fistula ligation time, and decreases total operative time, improving efficiency in thoracoscopic type C esophageal atresia repair.
METHODS: Between January 2019 and May 2024, 31 patients with type C esophageal atresia underwent thoracoscopic repair. Patients were randomly assigned to receive either conventional surgery (control group, n = 16) or surgery with continuous clamping during distal fistula dissection (study group, n = 15). This study compared intraoperative parameters (fistula dissection time, total surgical duration, etc.) and postoperative outcomes (anastomotic leak, anastomotic stenosis, etc.) between groups.
RESULTS: Baseline characteristics did not differ significantly between groups, including gender, age, admission weight, gestational age, and comorbid congenital anomalies (all P > 0.05). The study group demonstrated significantly fewer intraoperative interruptions (1.2 ± 0.3 vs. 5.5 ± 1.3 episodes, P < 0.05), shorter fistula ligation time (15.3 ± 4.5 vs. 32.3 ± 10.6 min), and shorter total operative duration (121.5 ± 13.5 vs. 153.1 ± 15.0 min) compared with the control group (all P < 0.05).
CONCLUSION: Continuous clamping during distal fistula dissection significantly reduces cyanosis-related surgical pauses, shortens fistula ligation time, and decreases total operative time, improving efficiency in thoracoscopic type C esophageal atresia repair.