A new simplified technique in thoracoscopic repair of congenital diaphragmatic hernia

作者全名："Li, Hua; Zhao, Shengliang; Wu, Chun; Pan, Zhengxia; Wang, Gang; Fu, Jian; Dai, Jiangtao"

作者地址："[Li, Hua; Zhao, Shengliang] Army Med Univ, Dept Thorac Surg, Affiliated Hosp 2, Chongqing, Peoples R China; [Zhao, Shengliang; Wu, Chun; Pan, Zhengxia; Wang, Gang; Fu, Jian; Dai, Jiangtao] Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders, Childrens Hosp,China Int Sci & Technol Cooperat B, Minist Educ,Key Lab Child Dev & Disorders,Chongqi, Chongqing, Peoples R China; [Wu, Chun; Pan, Zhengxia; Wang, Gang; Fu, Jian; Dai, Jiangtao] Chongqing Med Univ, Dept Cardio Thorac Surg, Childrens Hosp, 20 Jinyu Ave, Chongqing, Peoples R China"

通信作者："Dai, JT (通讯作者)，Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders, Childrens Hosp,China Int Sci & Technol Cooperat B, Minist Educ,Key Lab Child Dev & Disorders,Chongqi, Chongqing, Peoples R China.; Dai, JT (通讯作者)，Chongqing Med Univ, Dept Cardio Thorac Surg, Childrens Hosp, 20 Jinyu Ave, Chongqing, Peoples R China."

来源：PEDIATRIC SURGERY INTERNATIONAL

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000762870500001

JCR分区：Q2

影响因子：1.8

年份：2022

卷号：38

期号：6

开始页：861

结束页：865

文献类型：Article

关键词：Congenital diaphragmatic hernia; Venipuncture indwelling needle; Minimally invasive surgery; Thoracoscopic diaphragmatic hernia repair

摘要："Background This study aims to describe a new method of repairing the diaphragm with a venipuncture indwelling needle under thoracoscopy to treat congenital diaphragmatic hernia (CDH). Methods We retrospectively analysed the clinical data of 43 children with CDH who underwent CDH repair with new technology in our hospital. In this study, we used the venipuncture indwelling needle suture method to treat children with CDH. Results In this study, 3 children were converted to open surgery, and the remaining 40 children achieved better clinical results. Follow-up of 43 children was performed for 1 month to 6 years. Except for two patients who relapsed after surgery, there was no recurrence after another operation. The remaining 41 children recovered well; there were no deaths or serious complications. Postoperative chest X-ray and gastrointestinal angiography showed that the abdominal organs were in a normal position. Conclusions The use of a venipuncture indwelling needle to suture the diaphragm under thoracoscopy is a simple new technique. This method can not only improve the efficiency of sutures but also better handle the opening of the ""V""-shaped defect of the diaphragm. At the same time, it has the advantages of minimal trauma, fast recovery, and improved cosmetic appearance."

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