Pediatria. Journal named after G.N. Speransky | VOL. 101
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ЭНДОХИРУРГИЧЕСКОЕ ЛЕЧЕНИЕ АТРЕЗИЙ ПИЩЕВАРИТЕЛЬНОГО ТРАКТА – ПРОРЫВЫ В ДЕТСКОЙ ХИРУРГИИ XXI ВЕКА

Publication Date Jun 17, 2022

Abstract

The paper reports the findings of well-known and new endosurgical operations to restore the lumen of various sections of the digestive tract in atresia, starting with the esophagus and ending with the colon, and a comparative analysis of the minimum invasive and traditional treatment of these anomalies has been carried out. Materials and methods of research: a multicenter retrospective cohort study presents the results of 540 cases of anastomoses performed in newborns with atresia of various segments of the digestive tract in 3 surgical centers located in Irkutsk, Kemerovo and Krasnoyarsk. The study covers the period from January 2002 to July 2020. Patients were divided into two groups: Group I – 238 patients who underwent endosurgical correction of atresia; Group II – 302 patients who underwent anastomoses using open surgery. The selected groups did not significantly differ by gender, birth weight, age at the time of surgery and the gestation period. Depending on the level of intestinal segment connectivity, all patients were distributed as follows: esophagus – 239 (44.2%); duodenum – 211 (39.1%); small intestine – 70 (13.0%); colon – 20 (3.7%) patients. In the final part of the study the demographic data of patients, intra- and postoperative parameters, as well as complications during treatment were statistically analyzed. Results: patients of the compared groups had the same demographic parameters. Statistically significant differences were discovered in the analysis of operative intervention timelapse between endosurgica...

Concepts

Open Surgery Group Small Intestine Concomitant Conditions Congenital Heart Defects Favorable Course Postoperative Parameters Enteral Nutrition Laparoscopy Group Time Of Surgery Gestation Period

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