【儿科PPT课件】食管闭锁，膈疝.ppt

2010年1月至2011年5月 食管闭锁 13 例+1  膈疝 9例+1+1  术后处理 随访：术后4月 EA±TOF 9例基本情况表 先天性膈疝 手术方法 1、气管插管+全麻 2、侧卧位 3、3~4孔，CO2气压4-13mmHg 4、直接缝合/折叠 先天性膈疝 9例膈疝基本情况表 先天性膈疝 讨论 食道闭锁 膈疝 讨论 食道闭锁 1、long-gap型EA手术处理 congenital diaphragmatic hernia(CDH) 1.Silen ML, Canvasser DA, Kurkchubasche AG, et al. Video-assisted thoracic surgical repair of a foramen of bochdalek hernia. Ann Thorac Surg. 1995;60:448–450. 2.Cho SD, Krishnaswami S, McKee JC, et al. Analysis of 29 consecutive thoracoscopic repairs of congenital diaphragmatic hernia in neonates compared to historical controls. J Pediatr Surg. 2009;44:80–86. 3.Gourlay DM, Cassidy LD, Sato TT, et al. Beyond feasibility: a comparison of newborns undergoing thoracoscopic and open repair of congenital iaphragmatic hernias. J Pediatr Surg. 2009;44:1702–1707. 4.Giacomello L, Nah SA, De Coppi P, et al. Thoracoscopic repair of congenital diaphragmatic hernia: intraoperative ventilation and recurrence. In: 56th Annual Congress of the British Association of Paediatric Surgeons and 10th Annual Congress of the European Paediatric Surgeons’ Association; 2009; Graz, Austria. 5.Liem NT, Dung LA. Thoracoscopic repair for congenital diaphragmatic hernia: lessons from 45 cases. J Pediatr Surg. 2006;41:1713–1715. 6.Ferreira CG, Reinberg O, Becmeur F, et al. Neonatal minimally invasive surgery for congenital diaphragmatic hernias: a multicenter study using thoracoscopy or laparoscopy. Surg Endosc. 2009;23:1650 –1659. 7.Yang EY, Allmendinger N, Johnson SM, et al. Neonatal thoracoscopic repair of congenital diaphragmatic hernia: selection criteria for successful outcome. J Pediatr Surg. 2005;40:1369 –1375. 8.Arca MJ, Barnhart DC, Lelli JL, et al. Early experience with minimally invasive repair of congenital diaphragmatic hernias: results and lessons learned. J Pediatr Surg. 2003;38:1563–1568. 9.Shah AV, Shah A. Laparoscopic approach to surgical management of congenital diaphragmatic hernia in the newborn. J Pediatr Surg.