The benefit of stay sutures during thoracoscopic esophagoesophagostomy in patients with esophageal atresia: a technical report
The benefit of stay sutures during thoracoscopic esophagoesophagostomy in patients with esophageal atresia: a technical report
复制标题
DOI：
10.1007/s00383-010-2560-2
复制
发表时间：
2010-04-01
影响因子：
1.8
通讯作者：
Yamataka, Atsuyuki
中科院分区：
文献类型：
--
作者：
Shimotakahara, Akihiro;Sueyoshi, Ryo;Yamataka, Atsuyuki
我们报告了我们为食管闭锁患者开发的胸腔镜食管食管吻合术的技术改进。它们是：（1）沿着闭锁食管边缘放置留置缝线，并将其通过胸壁暴露，以良好地暴露食管的腔表面并减轻吻合处的张力;（2）在放置留置缝线之前，保持闭锁食管远端和近端长度的1/5完整，以避免粘膜回缩到腔中;（3）使食管近端直径大于食管远端直径1.5 ~ 2倍，使吻合口形状更流线型，无切迹。
We report on technical modifications we developed for thoracoscopic esophagoesophagostomy in patients with esophageal atresia. They are: (1) placing stay sutures along the edges of the atretic esophagi and exteriorizing them through the thoracic wall to expose the luminal surfaces of the esophagi nicely and relieve tension on the anastomosis; (2) leaving 1/5 of the length of the distal and proximal ends of the atretic esophagi intact before placing the stay sutures, to avoid retraction of the mucosa into the lumen; (3) making the diameter of the proximal esophagus 1.5-2 times larger than the diameter of the distal esophagus to make the shape of the anastomosis more streamlined without notching.