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Article
Feasibility of thoracoscopic U-clip esophageal anastomosis: an alternative for esophageal atresia reconstruction.
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  • Gregory Banever, MD, Baystate Health
  • Michael Tirabassi, MD, Baystate Health
  • Kevin Moriarty, MD, Baystate Health
  • Stanley Konefal, MD, Baystate Health
  • Edward Reiter, MD, Baystate Health
  • Richard Wait, MD, Baystate Health
Document Type
Article, Peer-reviewed
Publication Date
6-1-2004
Abstract
BACKGROUND: The authors propose that U-Clips can significantly decrease the technical difficulty of performing thoracoscopic esophageal reconstruction, thus, reducing operating time, the incidence of postoperative leak, and stricture rate. METHODS: After obtaining Institutional Animal Care and Use Committee approval, 3 4-kg female piglets underwent complete thoracoscopic esophageal transections. The esophagus was reconstructed thoracoscopically using S50 and S60 U-Clips over an 8F transanastomotic tube. Esophagrams were performed on postoperative day (POD) 7, 21, 44, and 77. RESULTS: Mean operating time was 57 minutes (45 to 75 min). Two of 3 piglets had no evidence of leak on POD 7 esophagrams. One animal had a small leak that resolved spontaneously on antibiotics. All 3 piglets tolerated a formula diet orally by POD 8. Over a 77-day survival period all 3 piglets had steady weight gain on an oral diet. CONCLUSIONS: U-Clips are a feasible alternative to sutures for esophageal reconstruction in thoracoscopic surgery. Further study is warranted to investigate the full potential of U-Clips in minimally invasive pediatric surgery.
Publication ISSN
0884-8734
Citation Information
Tirabassi MV, Banever GT, Moriarty KP, Konefal S, Reiter E, Wait R. Feasibility of thoracoscopic U-clip esophageal anastomosis: an alternative for esophageal atresia reconstruction. J Pediatr Surg 2004 Jun;39(6):851-4.