Congenital airway stenosis is a disease that seriously threatens the health and growth of children. Currently, the area of expertise has mixed views on its treatment options. For a long time, due to the difficulty of surgery and the difficulty of postoperative recovery, the treatment of this disease has left many cardiothoracic surgeons helpless.
Recently, the team of Wang Shunmin, Department of Cardiothoracic Surgery of Shanghai Children's Medical Center affiliated to Shanghai Jiao Tong University School of Medicine, published a paper entitled "Surgical Management Strategy of Slide tracheoplasty for Infants with" in the international authoritative journal "The Journal of Thoracic and Cardiovascular Surgery" Results of a clinical study of congenital tracheal stenosis (surgical treatment strategy for infantile congenital tracheostenosis "slide" tracheoplasty)".
The research team conducted a 10-year retrospective analysis of 120 cases of tracheal stenosis surgery in infants younger than 1 year old. The data show that personalized treatment strategies, including the selection of the best surgical timing, the specialized treatment of bridging bronchi and selective anterior tracheal suspension, can achieve good clinical results in infant "slide" tracheoplasty, and the overall surgical mortality rate is reduced from 12.5% in the previous period to 2.27%.
Professor Carl L. Backer, editor-in-chief of Pediatric Cardiology Surgery, from HealthCare Kentucky Children's Hospital in the United Kingdom, published a peer review of the study, arguing that Shanghai Children's Medical Center is the largest pediatric diagnosis and treatment center for congenital tracheal stenosis in China, and emphasizing that referring children with tracheal stenosis to the same center for regional centralized management is conducive to improving the clinical treatment effect of congenital tracheal stenosis.
The first author and co-first author of this paper are Chen Liqin, resident physician of cardiothoracic surgery of Shanghai Children's Medical Center, and Zhu Limin, deputy chief physician, respectively, and the corresponding authors and co-corresponding authors are Wang Shunmin, chief physician of cardiothoracic surgery, and Du Xinwei, attending physician.
The tracheal treatment team of Shanghai Children's Medical Center Cardiothoracic Surgery has been exploring the treatment of tracheal stenosis since 2007, and through more than ten years of experience accumulation, it has mastered a set of teamwork treatment processes for long-segment tracheal stenosis, partial bronchial branch stenosis, and atmospheric tract compression and softening, while focusing on perioperative rehabilitation and multidisciplinary cooperation, and making unremitting efforts for children to be able to breathe smoothly. Related clinical achievements have won the Huaxia Medical Progress Award, Shanghai Medical Science and Technology Award and other honors.
Responsible Editor Liu Wanxin
Source Pudong Release