Thoracoscopic repair of XXXX with a distal fistula - lessons from the first 10 operations.

@entity1 @entity254 @entity1727 @entity1152
INTRODUCTION: @entity1152 ( @entity1152 ) repair was first performed in 1999, but still the technique is treated as one of the most complex pediatric surgical procedures. AIM: The study presents a single-center experience and learning curve of thoracoscopic repair of @entity1152 and @entity1727 . MATERIAL AND METHODS: From 2012 to 2014, 10 consecutive @entity1 with @entity1152 and @entity1727 were treated thoracoscopically in our center. There were 8 @entity1 and 2 @entity1 . Mean gestational age was 36.5 weeks and mean weight was 2230 g. Four @entity1 had associated anomalies. The surgery was performed after stabilization of the @entity1 between the first and fourth day after birth. Five @entity1 required intubation before surgery for respiratory distress. Bronchoscopy was not performed before the operation. RESULTS: In 8 @entity1 , the endoscopic approach was successfully used thoracoscopically, while in 2 @entity1 conversion to an open thoracotomy was necessary. In all @entity1 except 1, the @entity254 was patent, with no evidence of leak. One @entity1 demonstrated a leak, which did not resolve spontaneously, necessitating surgical repair. In long-term follow-up, 1 @entity1 required esophageal dilatation of the @entity254 . All @entity1 are on full oral feeding. CONCLUSIONS: The endoscopic approach is the method of choice for the treatment of @entity1152 in our center because of excellent visualization and precise atraumatic preparation even in neonates below a weight of 2000 g.
