Title

Minimally invasive esophagectomy for caustic esophageal stricture in children

Document Type

Journal Article

Publication Date

7-1-2004

Journal

Journal of Pediatric Surgery

Volume

39

Issue

7

DOI

10.1016/j.jpedsurg.2004.03.082

Keywords

caustic stricture; esophageal replacement; laparoscopic esophagectomy; Minimally invasive esophagectomy; thorascopic esophagectomy

Abstract

Esophageal stricture after lye ingestion in children is the most frequent indication for esophagectomy in children, but this operation entails significant risks for complications. With continuing advances in minimally invasive technology, complex procedures such as esophagectomy can be performed using small incisions, with the aim of reducing morbidity and mortality. Experience with minimally invasive esophagectomy is limited and has involved thoracoscopic dissection with the addition of laparotomy for gastric mobilization. The authors report a case of intractable caustic esophageal stricture in a child treated by a totally minimally invasive esophagectomy through a combined thoracoscopic and laparoscopic approach. In adult patients, this procedure has been associated with decreased hospital stay and more rapid return to normal activities, and we believe similar benefits will be obtained in children. Until further studies are done to show the advantage over the standard open technique, this procedure should be performed only in centers with experience in open esophageal surgery in children as well as by surgeons with advanced thoracoscopic and laparoscopic skills. © 2004 Elsevier Inc. All rights reserved.

This document is currently not available here.

Share

COinS