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Thoracoscopic aortopexy for tracheomalacia.
David C van der Zee1, Marieke Straver
1Head of Department Pediatric Surgery KE.04.140.5, Wilhelmina Children's Hospital, University Medical Center Utrech, P.O.Box 85090, 3508 AB, Utrecht, The Netherlands, d.c.vanderzee@umcutrecht.nl.
World Journal of Surgery
|September 19, 2014
Summary
Thoracoscopic aortopexy is a safe and effective minimally invasive treatment for severe tracheomalacia, even in redo procedures. This approach offers satisfactory outcomes with reduced impact compared to traditional surgery.
Area of Science:
- Pediatric Surgery
- Thoracic Surgery
- Minimally Invasive Surgery
Background:
- Tracheomalacia can cause life-threatening events.
- Aortopexy is a standard treatment, but thoracotomy has significant impact.
- Minimally invasive surgery may reduce procedure impact.
Purpose of the Study:
- Evaluate the outcomes of thoracoscopic aortopexy for tracheomalacia.
- Assess the feasibility and safety of minimally invasive approach for this condition.
Main Methods:
- Retrospective analysis of patients undergoing thoracoscopic aortopexy.
- Diagnosis confirmed by symptomatology, pH study, and/or tracheo-bronchoscopy.
- Three-trocar left-sided technique with intra-operative flexible tracheoscopy.
Main Results:
- 16 patients with severe tracheomalacia underwent thoracoscopic aortopexy.
- All procedures were completed without intra-operative complications.
- Recurrences in 5 patients were successfully managed with re-operation; all patients are thriving long-term.
Conclusions:
- Thoracoscopic aortopexy is a feasible and safe approach for tracheomalacia.
- This is the largest single-center series to date.
- Satisfactory long-term results are achievable, even in redo procedures.
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