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[Closed thorax esophagectomy in caustic stenosis of the esophagus]
J P Chappuis1, J S Valla, T Bechraoui
1Service de Chirurgie Pédiatrique, Hôpital Edouard-Herriot, Lyon.
Insights
A novel oesophagectomy technique without thoracotomy using a stripper for oesophageal eversion shows promising results in infants with caustic stenosis. This minimally invasive approach demonstrated no morbidity or mortality in six pediatric cases.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Minimally Invasive Procedures
Context:
- Caustic ingestion in infants can lead to severe esophageal strictures requiring surgical intervention.
- Traditional oesophagectomy often involves thoracotomy, posing significant risks for pediatric patients.
- Developing safer, less invasive surgical options for pediatric esophageal reconstruction is crucial.
Purpose:
- To evaluate the safety and efficacy of a stripper-assisted oesophagectomy without thoracotomy in infants with caustic esophageal stenosis.
- To assess the feasibility of this technique for pediatric oesophagectomy indications.
- To report outcomes including morbidity and mortality in a small cohort of infants.
Summary:
- Six infants with caustic oesophageal stenosis underwent oesophagectomy using a stripper for oesophageal eversion, avoiding thoracotomy.
- The procedure was performed between 6 and 18 months post-lesion in five cases, and 13 years in one case.
- No complications (morbidity) or deaths (mortality) were observed in any of the treated patients.
Impact:
- This oesophagectomy technique appears well-suited for pediatric patients with caustic esophageal stenosis.
- The absence of thoracotomy may reduce surgical trauma and recovery time in infants.
- Further research can explore long-term outcomes and broader applications in pediatric surgical oncology.
Abstract:
The technique of oesophagectomy without thoracotomy using a stripper for oesophageal eversion has been applied to 6 cases of caustic stenosis of oesophagus in infants. This technic has been realized 6 to 18 months after the initial lesion in 5 cases, 13 years in a case. There is neither morbidity nor mortality. This procedure seems well adapted to pediatric indications of oesophagectomy.