The Surgical Treatment of Type III Congenital Esophageal Atresia

Objective To investigate the early diagnosis and therapy of Type Ⅲ Congenital Esophageal Atresia(CEA).Method A retrospective analysis had been adopted to the clinical materials of 16 cases of type Ⅲ CEA during August 2006 to July 2008 in our hospital.All cases had been confirmed by angiography.The Tracheoesophageal Fistula(TF) through outerpleura path were ligated and the anastomosis operation was done.Some cases were added the procedure of Lovaditis for cutting the t.muscularis oesophagi before the anastomosis opertation.Results All 16 cases had been done the surgery and all were cured.Among all the cases,one was conducted a repair operations before fully cured;one was fully cured after anti-infection,nutrition support and fully postoperative drainage.All cases were tracked for 6 months to 2 years.One case died for the infection of lung and the other 11 cases had been in good condition.Conclusion Early diagonosis,prompt surgery,good postoperative nursing and the preventive and therapy of complication were of great importance in improving the survival rate of CEA.In particular,the reducing of anastomotic had decisive effect to anastomotic leakage.The avoidance of pleura rupture was significant for the recovery and prognosis.The early extraction of the pipe of outer pleural of the postoperative drainage near the anstomosis was beneficial for the recovery of the anastomosis.