THORACOSCOPIC POSTERIOR TRACHEOPEXIE IN A NEWBORN WITH TRACHEOMALACIA AND ESOPHAGEAL ATRESIA
- 作者: Kozlov Y.A.1,2,3, Rasputin A.A.1, Kovalkov K.A.4, Baradieva P.J.1, Ochirov C.B.1
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隶属关系:
- Irkutsk Municipal Pediatric Clinical Hospital
- Irkutsk State Medical Academy of Continuing Education
- Irkutsk State Medical University Russia
- Kemerovo Clinical Pediatric Hospital № 5
- 期: 卷 8, 编号 4 (2018)
- 页面: 66-72
- 栏目: Case reports
- URL: https://journal-vniispk.ru/2219-4061/article/view/122766
- DOI: https://doi.org/10.17816/psaic480
- ID: 122766
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Introduction. Esophageal atresia is often accompanied by some form of tracheomalacia. Soon after birth, tracheal collapse can result in respiratory disturbances of various degrees – from mild to severe – requiring artifcial pulmonary ventilation. In this study, we describe the use of a new treatment method of tracheomalacia with posterior tracheopexie.
Material and methods. A patient with tracheomalacia that developed against the background of esophageal atresia was presented in the study. A newborn boy of 2,720 g had a prenatally established diagnosis of esophageal atresia. The infant was born with the signs of respiratory disturbances. Following tracheoscopy, severe tracheomalacia was established with complete collapse of tracheal lumen. During the next thoracoscopic procedure, the trachea was fxed to the anterior longitudinal spinal ligament with several sutures.
Results. Thoracoscopic posterior tracheopexie was performed prior to esophageal anastomosis. Overall duration of surgery was 85 minutes. Spontaneous breathing was restored at day 3 after the surgery. Tracheoscopy performed at day 10 after the surgery demonstrated a complete opening of the tracheal lumen.
Conclusion. Promising results of the surgery prove that the procedure is effective for the treatment of tracheomalacia. Moreover, more complex (aortopexy) recurrent surgeries can be prevented using this approach as posterior tracheopexie can be performed during the primary thoracoscopic correction of esophageal atresia.
作者简介
Yu. Kozlov
Irkutsk Municipal Pediatric Clinical Hospital; Irkutsk State Medical Academy of Continuing Education; Irkutsk State Medical University Russia
编辑信件的主要联系方式.
Email: yuriherz@hotmail.com
ORCID iD: 0000-0003-2313-897X
Yury A. KOZLOV Head of department of neonatal surgery, professor of the department of pediatric surgery, professor of the department of pediatric surgery
俄罗斯联邦
A. Rasputin
Irkutsk Municipal Pediatric Clinical Hospital
Email: arasputin@mail.ru
ORCID iD: 0000-0002-5690-790X
Andrey A. RASPUTIN Surgeon of department of neonatal surgery
俄罗斯联邦
K. Kovalkov
Kemerovo Clinical Pediatric Hospital № 5
Email: fake@neicon.ru
ORCID iD: 0000-0001-6126-4198
Konstantin А. KOVALKOV Head of pediatric surgery at Kemerovo Clinical Pediatric Hospital № 5
俄罗斯联邦
P. Baradieva
Irkutsk Municipal Pediatric Clinical Hospital
Email: p.baradieva@icloud.com
ORCID iD: 0000-0002-5463-6763
Polina J. BARADIEVA Pedaitric surgeon at Irkutsk Municipal Pediatric Clinical Hospital
俄罗斯联邦
Ch. Ochirov
Irkutsk Municipal Pediatric Clinical Hospital
Email: Chimitbator@gmail.com
ORCID iD: 0000-0002-6045-1087
Chimit B. OCHIROV Surgeon of department of neonatal surgery at Irkutsk Municipal Pediatric Clinical Hospital
俄罗斯联邦
参考
- Cartabuke R.H., Lopez R., Thota P.N. Long-term esophageal and respiratory outcomes in children with esophageal atresia and tracheoesophageal fstula. Gastroenterol Rep (Oxf) 2016;4:310–4. doi: 10.1093/gastro/gov055
- Spitz L., Kiely E., Brereton R.J. Esophageal atresia: fve year experience with 148 cases. J. Pediatr. Surg. 1987;22:103–8.
- Slany E., Holzki J., Holschneider A.M., Gharib M., Hugel W., Mennicken U. Tracheal instability in tracheo-esophageal abnormalities. Z Kinderchir 1990;45:78–85. doi: 10.1055/s-2008–1042555
- Johnson PRV. Oesophageal atresia. Inf Dent 2005;1:163–7.
- Hysinger E.B., Panitch H.B. Paediatric tracheomalacia. Paediatr Respir Rev 2016;17: 9–15. doi: 10.1016/j.prrv.2015.03.002.
- Fraga J.C., Jennings R.W., Kim P.C. Pediatric tracheomalacia. Semin. Pediatr. Surg. 2016; 25:156–64. 10.1053/j.sempedsurg.2016.02.008.
- Jennings R.W., Hamilton T.E., Smithers C.J., Ngerncham M., Feins N., Foker J.E. Surgical approaches to aortopexy for severe tracheomalacia. J. Pediatr.Surg. 2014;49:66–70. doi: 10.1016/j.jpedsurg.2013.09.036.
- van der Zee D.C., Straver M. Thoracoscopic aortopexy for tracheomalacia. World J. Surg. 2015;39:158–64. doi: 10.1007/s00268–014–2798–2.
- Smithers C.J., Hamilton T.E., Manfredi M.A., Rhein L., Ngo P., Gallagher D., Foker J.E., Jennings R.W. Categorization and repair of recurrent and acquired tracheoesophageal fstulae occurring after esophageal atresia repair. J. Pediatr. Surg. 2017; 52(3):424–30. doi: 10.1016/j.jpedsurg.2016.08.012.
- Bairdain S., Smithers C.J., Hamilton T.E., Zurakowski D., Rhein L., Foker J.E., Baird C., Jennings R.W. Direct tracheobronchopexy to correct airway collapse due to severe tracheobronchomalacia: short-term outcomes in a series of 20 patients. J. Pediatr. Surg. 2015;50:972–7. doi: 10.1016/j.jpedsurg.2015.03.016
- Bairdain S, Zurakowski D., Baird C.W. Surgical treatment of trachebronchomalacia: a novel approach. Paediatr Respir Rev 2016;19:16–20.
- Shieh H.F., Smithers C.J., Hamilton T.E., Zurakowski D., Visner G.A., Manfredi M.A., Jennings R.W., Baird C.W. Posterior tracheopexy for severe tracheomalacia. J Pediatr Surg (2017) 52(6):951–5. doi: 10.1016/j.prrv.2016.04.002.
- Tytgat S., van Herwaarden-Lindeboom M, van Tuyll van Serooskerken E, van der Zee D. Thoracoscopic posterior tracheopexy during primary esophageal atresia repair: a new approach to prevent tracheomalacia complications. J. Pediatr. Surg. 2018 Jul;53(7):1420–3. doi: 10.1016/j.jpedsurg.2018.04.024.
- Kamran A., Hamilton T., Zendejas B., Nath B., Jennings R., Smithers C. Minimally Invasive Surgical Approach for Posterior Tracheopexy to Treat Severe Tracheomalacia: Lessons Learned from Initial Case Series. J. Laparoendosc Adv. Surg. Tech A. 2018 Jul 5. doi: 10.1089/lap.2018.0198.
- Boogaard R., Huijsmans S.H., Pijnenburg M.W., Tiddens H.A., de Jongste J.C., Merkus P.J. Tracheomalacia and bronchomalacia in children: incidence and patient characteristics. Chest 2005;128:3391–7. doi: 10.1378/chest.128.5.3391
- Разумовский А.Ю., Ханвердиев Р.А. Современные технологии в диагностике и лечении атрезии пищевода с трахеопищеводным свищем. //Вопросы практической педиатрии – 2012.– № 7.– с. 34–40
- Козлов Ю.А., Новожилов В.А., Вебер И.Н. Торакоскопическая аортостернопексия у детей первых 3 мес. жизни. // Эндоскопическая хирургия – 2014.– № 20.– с. 37–41.
- Козлов Ю.А., Новожилов В.А., Вебер И.Н. Торакоскопическое лечение атрезии пищевода: результаты мультицентрового исследования. //Педиатрия. Журнал им. Г.Н. Сперанского – 2017.– № 96.– с. 99–107.
- Carden K.A., Boiselle P.M., Waltz D.A., Ernst A. Tracheomalacia and tracheobronchomalacia in children and adults: an in-depth review. Chest 2005;127:984–1005. doi: 10.1378/chest.127.3.984
- Mirra V., Maglione M., DiMicco L.L., et al. Longitudinal follow-up of chronic pulmonary manifestations in esophageal atresia: a clinical algorithm and review of the literature. Pediatr Neonatol 2017;58:8–15. doi: 10.1016/j.pedneo.2016.03.005.
- Chetcuti P., Phelan P.D. Respiratory morbidity after repair of oesophageal atresia and tracheo-oesophageal fstula. Arch Dis Child 1993;68:167–70.
- Goyal V., Masters I.B., Chang A.B. Interventions for primary (intrinsic) tracheomalacia in children. Cochrane Database Syst Rev 2012;10: CD005304. doi: 10.1002/14651858.CD005304.pub3.
- Ngerncham M., Lee E.Y., Zurakowski D., Tracy D.A., Jennings R. Tracheobronchomalacia in pediatric patients with esophageal atresia: comparison of diagnostic laryngoscopy/bronchoscopy and dynamic airway multidetector computed tomography. J Pediatr Surg 2015;50: 402–7. doi: 10.1016/j.jpedsurg.2014.08.021.
- Kozlov Y.U., Novozhilov V.A. Thoracoscopic aortosternopexy. //Journal of Pediatric Surgery, Anesthesia and Intensive Care; 2014;4:8–13
- Torre M., Carlucci M., Speggiorin S., Elliott M.J. Aortopexy for the treatment of tracheomalacia in children: review of the literature. Ital J. Pediatr. 2012;38:62. doi: 10.1186/1824–7288–38–62.
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