<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2019000600636</article-id>
<article-id pub-id-type="doi">10.24875/ciru.19000783</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Aortopexia toracoscópica para el tratamiento de la traqueomalacia grave en niños. Reporte de casos]]></article-title>
<article-title xml:lang="en"><![CDATA[Thoracoscopic aortopexy to treat severe tracheomalacia in children. Cases report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Hernández]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carvajal-Figueroa]]></surname>
<given-names><![CDATA[Lourdes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Archivaldo-García]]></surname>
<given-names><![CDATA[Cristian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calderón-Alipi]]></surname>
<given-names><![CDATA[César M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Infantil Privado Departamento de Cirugía Pediátrica ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional Autónoma de México  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>87</volume>
<numero>6</numero>
<fpage>636</fpage>
<lpage>639</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2019000600636&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2019000600636&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2019000600636&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Presentar nuestra experiencia en el tratamiento de la traqueomalacia grave por abordaje toracoscópico, la metodología diagnóstica, la técnica quirúrgica, la evolución postoperatoria y las complicaciones.  Casos clínicos: De 2016 a 2017 se trataron tres pacientes, dos de ellos con traqueomalacia grave y uno con traqueobronquiomalacia grave, de 3 a 12 meses de edad, con peso de 3 a 6 kg, múltiples eventos de casi muerte súbita y dependencia absoluta de ventilación asistida; en otro hospital practicaron traqueostomía, funduplicación y gastrostomía. La broncoscopia preoperatoria mostró malacia traqueal y bronquial grave, y la angiotomografía de tórax descartó otras causas de compresión. Se practicó aortopexia toracoscópica izquierda sin complicaciones, con control broncoscópico transoperatorio que mostró mejoría en la luz traqueal en los tres pacientes y sin recidiva de la sintomatología respiratoria en un seguimiento de 3 a 20 meses.  Conclusiones: La aortopexia toracoscópica es una técnica segura y efectiva para el tratamiento de la traqueomalacia primaria grave en los niños.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: To present our experience in the treatment of the severe tracheomalacia by thoracoscopic approach, as well as its diagnostic methodology, surgical technique, post-operatory evolution and complications.  Clinical cases: From 2016 to 2017, three patients, 3, 9 and 12 months old, were treated. They showed multiple near sudden death events and had an absolute dependence to assisted ventilation. Pre-operatory bronchoscopy evinced tracheal severe malacia. Thoracic angiotomography discarded other extrinsic tracheal compression causes. A left thoracoscopic aortopexy was practiced with a bronchoscopical trans-operatory control; with improvement in tracheal space. Just one patient is still awaiting cannula removal, without symptomatology recurrence in a 3-20 months follow up.  Conclusions: The thoracoscopic aortopexy is a safe and effective technique to treat primary and severe tracheomalacia in children.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Aortopexia]]></kwd>
<kwd lng="es"><![CDATA[Toracoscopia]]></kwd>
<kwd lng="es"><![CDATA[Traqueomalacia]]></kwd>
<kwd lng="en"><![CDATA[Aortopexy]]></kwd>
<kwd lng="en"><![CDATA[Thoracoscopy]]></kwd>
<kwd lng="en"><![CDATA[Tracheomalacia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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