THORACOSCOPIC TREATMENT OF ESOPHAGEAL ATRESIA

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Abstract

Background. In this study we reported our experience with repair of esophageal atresia using open surgery and thoracoscopy The aim of scientific work was to evaluate the effect of minimally invasive surgery for treatment of this congenital disease.
Methods. We reported the data of 114 neonates who underwent standard thoracotomy (44patients – Group I) and video-assisted thoracoscopic surgery for esophageal atresia repair (70 patients – Group II). The two groups were compared for patients demographics, operative report and postoperative parameters.
Results. The compared groups were similar in terms of demographics and preoperative parameters. There was significant difference in mean operative time between open and thoracoscopic procedure (111,14 min vs 77,00 min; p<0,05). Duration of care in neonatal intensive unit and length of hospital stay were significantly shorter in the Group II (12,39 d vs 8,13 d; p<0,05 and 31,80 d vs 22,81 d; p<0,05). Rates of early complications were diferent between groups (36,36 % – group I vs 11,43 % – group II; p<0,05). Rate of long-term complications was dominated in the thoracotomy group (20,45 % vs 0 %; p<0,05).
Conclusion. Thoracoscopic repair of the esophageal atresia gave results better than open surgery.

About the authors

Yury Kozlov

Irkutsk Municipal Pediatric Clinical Hospital;
Irkutsk State Medical Academy of Continuing Education;
Irkutsk State Medical University Russia

Author for correspondence.
Email: fake@neicon.ru
ORCID iD: 0000‑0003‑2313‑897X
Заведующий отделением хирургии новорожденных ОГАУЗ ИМДКБ г. Иркутска, профессор кафедры детской хирургии ГБОУ ВПО ИГМУ, профессор кафедры ГБОУ ВПО ИГМАПО, г. Иркутск, ул. Советская, 57, 664009. Оrcid.org/0000‑0003‑2313‑897X Russian Federation

Vladimir Novozhilov

Irkutsk Municipal Pediatric Clinical Hospital;
Irkutsk State Medical Academy of Continuing Education;
Irkutsk State Medical University Russia

Email: fake@neicon.ru
ORCID iD: 0000‑0002‑9309‑6691
Главный врач ОГАУЗ ИМДКБ г. Иркутска, заведующий кафедры детской хирургии ГБОУ ВПО ИГМУ, профессор кафедры ГБОУ ВПО ИГМАПО, г. Иркутск, ул. Советская, 57, 664009. Оrcid.org/0000‑0002‑9309‑6691 Russian Federation

Andrey Rasputin

Irkutsk Municipal Pediatric Clinical Hospital;

Email: fake@neicon.ru
ORCID iD: 0000‑0002‑5690‑790X
Врач-хирург отделения хирургии новорожденных ОГАУЗ ИМДКБ, г. Иркутск, ул. Советская, 57, 664009. orcid.org/0000‑0002‑5690‑790X Russian Federation

Polina Baradieva

Irkutsk Municipal Pediatric Clinical Hospital;

Email: fake@neicon.ru
ORCID iD: 0000‑0002‑5463‑6763

Врач детский хирург отделения хирургии новорожденных ОГАУЗ ИМДКБ, г. Иркутск, ул. Советская, 57, 664009. Orcid.org/0000‑0002‑5463‑6763

Russian Federation

Denis Zvonkov

Irkutsk State Medical University Russia

Email: fake@neicon.ru
ORCID iD: 0000‑0002‑7167‑2520

Ординатор курса детской хирургии факультета повышения квалификации специалистов ГБОУ ВПО ИГМУ, г. Иркутск, ул. Красного Восстания, 1, 664003. Orcid/0000‑0002‑7167‑2520

Russian Federation

Andrey Timofeev

Irkutsk State Medical University Russia

Email: fake@neicon.ru
ORCID iD: 0000‑0001‑7212‑5230

Ординатор курса детской хирургии факультета повышения квалификации специалистов ГБОУ ВПО ИГМУ, г. Иркутск, ул. Красного Восстания, 1, 664003. Orcid/0000‑0001‑7212‑5230

Russian Federation

Chimit Ochirov

Irkutsk State Medical Academy of Continuing Education;

Email: fake@neicon.ru
ORCID iD: 0000‑0002‑6045‑1087

Врач-хирург отделения хирургии новорожденных ОГАУЗ ИМДКБ, г. Иркутск, ул. Советская, 57, 664009. orcid.org/0000‑0002‑6045‑1087

Russian Federation

Natalya Rasputina

Irkutsk State Medical Academy of Continuing Education;

Email: fake@neicon.ru
ORCID iD: 0000‑0002‑2886‑4746

Врач-неонатолог отделения хирургии новорожденных ОГАУЗ ИМДКБ, г. Иркутск, ул. Советская, 57, 664009. Orcid.org/0000‑0002‑2886‑4746

Russian Federation

Galina Us

Irkutsk State Medical Academy of Continuing Education;

Email: fake@neicon.ru
ORCID iD: 0000‑0002‑9039‑2743

Врач-неонатолог отделения хирургии новорожденных ОГАУЗ ИМДКБ, г. Иркутск, ул. Советская, 57, 664009. Orcid.org/0000‑0002‑9039‑2743

Russian Federation

Nina Kuznetsova

Irkutsk State Medical Academy of Continuing Education;

Email: fake@neicon.ru
ORCID iD: 0000‑0001‑5870‑7752
Врач-неонатолог отделения хирургии новорожденных ОГАУЗ ИМДКБ, г. Иркутск, ул. Советская, 57, 664009. Orcid.org/0000‑0001‑5870‑7752 Russian Federation

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Copyright (c) 2017 Kozlov Y., Novozhilov V., Rasputin A., Baradieva P., Zvonkov D., Timofeev A., Ochirov C., Rasputina N., Us G., Kuznetsova N.

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