Thoracoscopic Repair of Esophageal Atresia and Tracheoesophageal Fistula: Lessons Learned

Abstract

Thoracoscopic repair of esophageal atresia and tracheoesophageal fistula is feasible, but is technically challenging. Long-gap defects require more extensive dissection and difficult anastomosis, and are therefore associated with longer operative times. More data are needed for further evaluation of this approach.

Perioperative Outcome of Patients with Esophageal Atresia and Tracheo-esophageal Fistula Undergoing Open Versus Thoracoscopic Surgery

“…T horacoscopic approach for repair of esophageal atresia (EA) and tracheo-esophageal fistula (TEF) has moved from ''a surgical first'' 1 to ''the way to go'' 2 and ''lessons learned'' 3 and has become a standard procedure in many pediatric surgical centers. There are still critical considerations from neonatologists, pediatric intensive care physicians, and also parents whether thoracoscopic surgery in a newborn, while being demanding from both the surgeon and the patient, is of benefit for the newborn.…”

Thoracoscopic repair of tracheoesophageal fistulas: a case–control matched study

“…Many of the operations that were performed classically open can now be performed endoscopically [3]. Lobe and Rothenberg are credited with the first successful TR of an esophageal atresia with and without a fistula [4,7]; since that report, scattered case series have shown feasibility of the technique [8][9][10][11][12]. To establish this advanced minimally invasive technique as the new criterion standard, several steps should be done by the pediatric surgery community.…”

Successful tubes treatment of esophageal fistula

“…Thoracoplasty, muscle flap repair of the esophagus, surgical stapler, intraluminal stents, tissue adhesive (fibrin glue, etc. ), and endoclips have seen successfully used by doctors (Siddiqui et al, 2007;Fernando and Benfield, 1996;Asaoka et al, 1988;Sethi and Takato, 1978;Adler et al, 2001;Agosti et al, 1978;Hu et al, 2004;Dosios et al, 2005;Marjolein and Peter, 2005;Eng et al, 1994;Solt et al, 1998;Kishi et al, 2005;Chryssostalis et al, 2005;Teitelbaum et al, 2005;Alberti and Alberti-Flor, 2005;Raymer et al, 2003;Okita et al, 2005;Truong et al, 2004;Talbot et al, 2007;Chappell and Heck, 2007;Gutiérrez San Román et al, 2006;Shichinohe et al, 2006;Rieder et al, 2006;Nguyen et al, 2006;Garand et al, 2006;Harries et al, 2004). The morbidity and mortality appear dramatically diminishing.…”