IPEG 2018 - SUCCESSFUL THORACOSCOPIC TREATMENT FOR ESOPHAGEAL ATRESIA COMBINED WITH TRACHEAL BRONCHUS

Thank you, Chairman. Good afternoon. I have nothing to disclosure. The patient was one day gone. After starting oral intake, the patient showed vomiting and respiratory distress. Cosine and abdominal gas were recognized, and EA crossty C was suspected. Initially, bronch fiber was performed to confirm the TF TF was recognized about 8 millimeters proximal to the carina at the right posterior lateral site. After then, the patient's position was changed to the left three quarter prone position. A camera port and two working ports were inserted. The arbo's spine was coagulated and divided using a vessel sealing system. Careful dissection of the distal asparagus was performed to detect the TF, but the asparagus was not interrupted in a normal outer appearance. TF was also not recognized as the dorsal side of the trachea. In order to confirm the TF bronchi fiber was performed again, a fistula-like structure was identified as a tracheal bronchus. In order to confirm the endominal stenosis and to repair, two traction sutures were performed at both the proximal and distal side of the stenosis. The upper esophagus was opened at the right side by a long ternal incision. A membrane structure was recognized in the end luminal space of the inside the esophagus. The membrane was rejected using bipolar scissors. Trans anastotic feeding tube was passaged to restore asparagus. The longitudinal esophaal incision was transversely closed by interrupted 66 thermal absorbable sutures preventing stenosis. There were no intraoperative or postoperative complications. The postoperative course was uneventful, and contrast enema showed no leakage or stenosis. The sarcoscopic approach was useful even for the diagnosis and treatment of rare variant leisure. Thank you so much.