Intraoperative Nursing Cooperation in Endoscopy-Assisted Surgery of Pyriform Sinus Fistula in Chinese Children: Experience in 196 Cases

Objectives: To summarize the experience of intraoperative nursing cooperation in endoscopy-assisted surgery of pyriform sinus fistula (PSF) in children. Methods: The charts of 196 children diagnosed with PSF undergone endoscopy-assisted surgery during August 2010 to August 2018 were retrospectively analyzed and in particular, the nursing cooperation reviewed. Results: All 196 cases were treated with endoscopy-assisted surgery following induction of general anesthesia with endotracheal intubation. Fistula tract was successfully found and completely resected. Good outcome was achieved in all but five patients during a follow-up of 2 months to 8 years. One patient had temporary hoarseness after surgery and recovered after 3 months. One patient developed left-side Horner’s syndrome. PSF recurred in 3 cases. Conclusions: Endoscopy-assisted surgery for PSF consists of two parts: endoscopy assistance and open-neck operation resection. As a combined surgery, there are integral parts for operating room nurses to make full preparation, understand the surgical method, master the surgical procedures and special requirements, strengthen the cooperation and collaboration closely with surgical personnel to ensure successful operation.