先天性食道閉鎖症Wide-gap症例に対するLivaditis法の経験

概要

論文の詳細を見る
Four patients of esophageal atresia with a wide-gap (2 cases of Gross' type A, one type B and one type C) were successfully primarily treated using circular esophagomyotomy for elongation of the esophagus. In 3 infants, the proximal and distal esophageal pouches were elongated by bouginage for 5 to 11 months before operation. Esophagomyotomies could further elongate the proximal esophagus by approximately 2 cm at each myotomy. It is thought that combining these two techniques may allow a successful primary esophageal anastomosis in infants with a wide-gap. Furthermore even in newborn babies with T. E. F. with a "wide-gap" recognized at surgery, intraoperative circular myotomy may usuful for primary anastomosis of the esophagus. Operative method and results of follow-up of our patients are discussed.
日本小児外科学会の論文
1982-10-20