Objective: Explore the feasibility and safety of thoracoscopy in the treatment of esophageal atresia under high-frequency oscillatory ventilation HFOV mode. Methods: This was a single-center retrospective analysis. The demographic information, surgical results and relevant experience were analyzed.
Results: All patients in the HFOV group underwent thoracoscopic esophageal atreplasty with a mean operation duration of Two patients had postoperative anastomotic leakage, which was cured after conservative treatment. One child had a recurrent tracheoesophageal fistula, which was closed after endoscopic cauterization. The mean postoperative mechanical ventilation time was 8. There was no return of anastomotic leakage or r-TEF after oral feeding.
Conclusion: Thoracoscopic esophageal atresia anastomosis under HFOV ventilation is feasible for patients with severe pulmonary infection, heart malformation, such as patent ductus arteriosus, ventricular septal defect, and poor anesthesia tolerance, but the long-term prognosis still needs further study in a large sample size.
Esophageal atresia EA is a malformation caused by a disruption of the vacuolar phase of esophageal development during the embryonic stage, and frequently leads to a tracheoesophageal fistula TEF because the esophagus and trachea are not completely separated 1 , 2. The incidence of EA is approximately 2. Moreover, it is a malformation that needs immediate attention during the newborn stage.
The degree of treatment is reflected in the success rate of esophageal atresia anastomosis and the postoperative quality of life. Pneumonia and other congenital abnormalities are common in children with esophageal atresia. To improve the prognosis of children, intraoperative stabilization is crucial. Infants who have respiratory failure and aspiration pneumonia are now frequently given respiratory assistance using high-frequency oscillatory ventilation HFOV 5 , 6.
