Thoracoscopic posterior tracheopexy during primary esophageal atresia repair ameliorate tracheomalacia in neonates: a single-center retrospective comparative cohort study

• DOI: 10.1186/s12893-022-01738-1
• Publication Date: 2022-07-25T06:02:50Z
• Authors: Akihiro Yasui; Akinari Hinoki; Hizuru Amano; Chiyoe Shirota; Takahisa Tainaka; Wataru Sumida; Kazuki Yokota; Satoshi Makita; Masamune Okamoto; Aitaro Takimoto; Yoichi Nakagawa; Hiroo Uchida
• Keywords: Tracheomalacia; Single Center; Thoracoscopy; Thoracotomy; Chylothorax

Esophageal atresia (EA) is often associated with tracheomalacia (TM). The severity of TM symptoms varies widely, serious cases requiring prolonged respiratory support and surgical treatment. Although we performed thoracoscopic posterior tracheopexy (TPT) during primary EA repair to prevent or reduce the TM, few studies have investigated safety effectiveness TPT repair. Therefore, this study aimed evaluate efficacy in neonates.We retrospectively reviewed records all patients diagnosed who underwent between 2013 2020 at Nagoya University Hospital. Patients were divided into two groups: (TPT group) without (control group). has been complicated by since 2020. We compared patient backgrounds, outcomes, postoperative complications, treatment efficacy.Of 22 reviewed, eight group 14 control group. There no statistically significant differences outcomes groups (operation time: p = 0.31; blood loss: 0.83; time extubation: 0.30; start enteral feeding: 0.19; oral 0.43). Conversion open thoracotomy was not any case. median operative required for 10 (8-15) min. complications (chylothorax: 0.36; leakage: 1.00; stricture: 0.53). dependence rate 30 days (2 [25%] vs. 11 [79%], 0.03) ratio lateral anterior-posterior diameter trachea (LAR) significantly lower (1.83 [1.66-2.78] 3.59 [1.80-7.70], 0.01).TPT lowered increasing risk complications. This suggested that could improve EA.