| Objective :To explore the risk factors and diagnosis and treatment of minimally invasive surgery for the anastomotic stenosis after the treatment of the first gastroesophageal closure.Methods:To analyse the clinical data of110 cases of children with congenital esophageal atresia through thoracoscope surgery in our hospital during October,2008 to2016.According to whether esophageal anastomotic stenosis occur after the opera-tion,the patients can be divided into stenosis group and the narrow.Collect statistics and analyze the clinical data of two groups of children,including:gender,operation weight,age,learning curve of the operator,type of esophageal atresia and dista-nce of esophageal blind side,service time of breathing machine and compli-cations,postoperative gastroesophageal reflux,postoperative anastomotic leakage,etc.;Through statistical analysis,we can conclud the related influencing factors in anastomotic stricture after minimally invasive surgery of congenital esophageal atresia.Results:There are36 cases of esophageal anastomotic strictures in110 cases.There are differences in the single factor analysis of performer' s cavity mirror technology learning curve,esophageal blind end distance,postoperative anastomotic leakage and gastroesophageal reflux after the operation are different in single and multiple factor analysis,the differences have statistical sense(P[0.05).Conclusion:the occurrence of esophageal anastomotic stenosis is related to the distance of esophageal blind side,postoperative gastroesophageal reflux and postoperative anastomotic leakage.Reduce anastomotic tension during operation,reduce occur-rence of anastomosis leakage and active treatment for postoperatively gastroeso-phageal reflux can effectively reduce the occurrence of postoperative esophageal anastomotic stenosis.Early diagnosis and treatment of esophageal anastomotic stenosis is helpful to improve the quality of children' s life. |
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