Thoracoscopic Repair of Esophageal Atresia without Fistula

Extrathoracic esophageal elongation (Kimura's technique): a feasible option for the treatment of patients with complex esophageal atresia

“…Finally, we want to emphasize that cases of long-gap EA with a completely, or almost completely, atretic lower esophageal pouch are not candidates for an EEE because it is extremely unlikely that the upper esophageal pouch will eventually reach the level of the diaphragm, regardless of how many elongations are performed [34][35][36][37][38][39][40][41][42][43][44].…”

New approaches to pectus and other minimally invasive surgery in Argentina

“…This is achieved by placing 2 simultaneous sutures in the posterior wall and placing a Roeder knot on each thread. Sequential tightening of the Roeder knot provides gentle traction with equal distribution of tension on both sutures [8,9].…”

“…We have 2 ways of doing it. The first is called the stainless steel spheres technique, which consists of thoracoscopic placement of a traction device using 2 specially designed stainless steel spheres [8,9]. Once a week, under fluoroscopic control, gradual approximation of both pouches is provided as the Roeder knot is tightened.…”

“…4) is used to dissect the difficult plane that often exists between the posterior wall of the trachea and the anterior wall of the esophagus. It consists of a rolling movement of the upper pouch, using grasping forceps [8,9]. At this point, deep dissection into the neck is mandatory to achieve enough esophageal length to perform an anastomosis.…”

“…At Fundación Hospitalaria Private Children's Hospital, we use the thoracoscopic approach [8,9]. We put the patient in a three-quarters left prone decubitus position.…”