From: Clinical comparison between thoracoscopic and thoracotomy repair of Gross type C esophageal atresia
Variables | Thoracoscopy (n = 62) | Thoracotomy (n = 128) | Results | p | |
---|---|---|---|---|---|
Operative time (median, minutes) | 125.5 (90.0, 206.3) | 130.0 (110.0, 150.0) | − 0.222 | 0.825 | |
Method for fistula closure (n, %) | Transfixing suture | 7 (11.48) | 116 (94.31) | 128.294 | < 0.001 |
Ham-lock clip | 22 (36.07) | 0 (0) | |||
Ligation | 32 (52.46) | 7 (5.69) | |||
Duration of mechanical ventilation after surgery (median, hours) | 141.0 (117.5, 170.5) | 93.0 (28.5, 212.5) | − 2.309 | 0.021 | |
Duration of intensive care unit stay after surgery (median, days) | 11 (8, 19) | 13 (6, 23) | − 0.327 | 0.744 | |
Parenteral nutrition treatment (median, days) | 18 (13, 23) | 15 (10, 22) | − 1.921 | 0.055 | |
Days until starting liquid diet (median, days) | 13 (9, 16) | 12 (9, 19) | − 0.068 | 0.945 | |
Feeding option before discharge (n, %) | Full oral | 45 (72.58) | 78 (60.94) | 9.366 | 0.009 |
Tube feeding | 10 (16.13) | 11 (8.59) | |||
Total parenteral nutrition | 7 (11.29) | 39 (30.47) | |||
Total of duration of hospitalization (median, days) | 25 (20, 34) | 23 (18, 34) | − 0.606 | 0.544 | |
Pneumothorax (n, %) | Yes | 25 (40.98) | 56 (44.09) | 0.163 | 0.687 |
No | 36 (59.02) | 71 (55.91) | |||
Management of pneumothorax (n, %) | Observation | 10 (40.00) | 14 (25.00) | 7.806 | 0.020 |
Only Thoracentesis | 8 (32.00) | 8 (14.29) | |||
Closed thoracic drainage (with/without thoracentesis) | 7 (28.00) | 34 (60.71) | |||
Anastomotic leakage (n, %) | Yes | 19 (30.65) | 55 (42.97) | 2.668 | 0.102 |
No | 43 (69.35) | 73 (57.03) | |||
Anastomotic stricture (n, %) | Yes | 25 (40.32) | 23 (27.71) | 2.549 | 0.110 |
No | 37 (59.68) | 60 (72.29) | |||
Recurrent tracheoesophageal fistula (n, %) | Yes | 7 (11.29) | 6 (7.32) | 0.679 | 0.410 |
No | 55 (88.71) | 76 (92.68) | |||
Prognosis (n, %) | Survival | 54 (87.10) | 86 (67.19) | 8.640 | 0.011 |
Death | 2 (3.23) | 9 (7.03) | |||
Lost-to follow up | 6 (9.68) | 33 (25.78) | |||
History of gastroesophageal reflux (n, %) | Yes | 16 (29.63) | 10 (15.63) | – | – |
No | 38 (70.37) | 54 (84.38) | |||
History of respiratory problems (n, %) | Yes | 5 (10.20) | 20 (30.77) | – | – |
No | 44 (89.80) | 45 (69.23) |