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Thoracoscopic repair of congenital isolated H-type tracheoesophageal fistula

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064203%3A_____%2F21%3A10415817" target="_blank" >RIV/00064203:_____/21:10415817 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216208:11130/21:10415817

  • Result on the web

    <a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=rg1UDywzxR" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=rg1UDywzxR</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1016/j.jpedsurg.2020.08.024" target="_blank" >10.1016/j.jpedsurg.2020.08.024</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Thoracoscopic repair of congenital isolated H-type tracheoesophageal fistula

  • Original language description

    Background/purpose: The available literature on congenital isolated H-type tracheoesophageal fistula (TEF) is limited, and preferred approach varies among centers (cervicotomy, thoracotomy, thoracoscopy). We aimed to present one of the biggest case series of thoracoscopic approach for congenital isolated TEF and to assess the method&apos;s feasibility and outcomes. Methods: Retrospective review of thoracoscopic TEF repair experiences at 2 European university pediatric surgery centers. Results: 9 boys and 3 girls were involved in the study (age 5 days-4 years), 8 of them were newborns (mean birth weight 3013 g, mean gestational age 39 weeks). The most common presenting symptoms were desaturations on feeding in neonates and recurrent respiratory tract infections in older children. The diagnoses were established on contrast study and confirmed with rigid bronchoscopy. The fistulas were located at or below the thoracic inlet; the fistulas were 2 cm above the carina to half the height of the trachea. All patients underwent successful thoracoscopic TEF repair. There were no conversions. The postoperative course was uneventful in all but one who had rethoracoscopy for prolonged postoperative chylothorax. All patients had satisfactory vocal cord function. One patient required reoperation for fistula recurrence 8 months after primary surgery. Conclusion: Thoracoscopic approach for isolated H-type TEF seems to be possible as a procedure of choice with satisfactory results and all benefits of minimally invasive procedure. Level of evidence: IV (case series).

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30212 - Surgery

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2021

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Journal of Pediatric Surgery

  • ISSN

    0022-3468

  • e-ISSN

  • Volume of the periodical

    56

  • Issue of the periodical within the volume

    8

  • Country of publishing house

    US - UNITED STATES

  • Number of pages

    3

  • Pages from-to

    1386-1388

  • UT code for WoS article

    000685044000026

  • EID of the result in the Scopus database

    2-s2.0-85091609495