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

Tokhais, Tariq Al; Zamakhshary, Mohammed; Aldekhayel, Salah; Mandora, Hala; Sayed, Salahuddin; Al-Harbi, Khalid M.; Alqahtani, Aayed R.

doi:10.1016/j.jpedsurg.2007.12.015

Cited by 42 publications

(26 citation statements)

References 18 publications

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“…One study showed a longer operative time in the COR group, [11] whereas the other 5 studies suggested that the operative time of TR was longer. After pooling of data, there was moderate heterogeneity among studies ( I 2 = 56%).…”

Section: Resultsmentioning

confidence: 99%

Outcomes of thoracoscopy versus thoracotomy for esophageal atresia with tracheoesophageal fistula repair

Yang

Dong²,

Zheng³

et al. 2016

Medicine

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Background:A thoracoscopic approach for repair of esophageal atresia (EA) with tracheoesophageal fistula (TEF) has become a standard procedure in many pediatric surgical centers. However, whether thoracotomy or thoracoscopy offer advantages in terms of surgical outcomes is not known.Methods:To evaluate the efficacy and safety of thoracoscopic repair (TR) versus conventional open repair (COR) for EA with TEF.PubMed, Cochrane Library, and EMBASE were searched to identify relevant literature until 2016.Studies comparing surgical outcomes of patients undergoing TR versus COR for EA with TEF were reviewed.The quality of each included study was assessed using the Newcastle–Ottawa scale score. A fixed or random-effect model was applied depending on heterogeneity tests.Results:Eight observational clinical studies involving 452 patients were included in this meta-analysis. The meta-analysis of 2 major postoperative complications (leaks and strictures) did not show significant differences between TR and COR. Overall estimates of the odds ratio (OR) of TR versus COR for leaks and strictures were: 1.57 (95% confidence interval [CI], 0.77–3.20; P = 0.22) and 0.90 (95% CI, 0.27–2.97; P = 0.86), respectively. However, meta-analysis of operation time (OR = 19.59, 95% CI = 0.77–38.40, P = 0.04), timing of extubation (OR = −2.50, 95% CI = −3.39 to −1.62, P < 0.001), time to 1st oral feeding (OR = −2.58, 95% CI = −3.79 to −1.36, P < 0.001), and duration of hospital stay (OR = −10.76, 95% CI = −16.39 to −5.12, P < 0.001) showed significant differences.No randomized controlled trial was included, and most studies had small sample sizes and were based on retrospective analysis.Conclusion:TR and COR show a similar complication rates of leaks and strictures for EA/TEF repair. Although associated with a longer operative time, TR has the advantages of an earlier time to extubation and 1st oral feeding, and shorter hospital stay.

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Section: Resultsmentioning

confidence: 99%

Outcomes of thoracoscopy versus thoracotomy for esophageal atresia with tracheoesophageal fistula repair

Yang

Dong²,

Zheng³

et al. 2016

Medicine

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“…Nevertheless, meta-analysis by Borruto et al showed no difference in open and thoracoscopic groups and the only advantage is to prevent major thoracotomy [15][16][17].…”

Section: Discussionmentioning

confidence: 99%

Thoracoscopic Esophageal Atresia Repair in Pakistan: Early Learning Curve

Brohi¹,

Mengal²,

Tabassum³

2017

J Neonat Surg

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How to cite: Brohi AR, Mengal N, Tabassum R. Thoracoscopic esophageal atresia repair in Pakistan: early learning curve.J Neonatal Surg. 2017;6:78.This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACTBackground: Esophageal atresia is rare congenital anomaly, which is traditionally repaired by open thoracotomy. Thoracoscopic esophageal atresia repair has evolved as an effective and safe technique.

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“…4 Currently, this surgical technique is becoming the gold standard for EA correction in several centers. 4,5 However, a new era is emerging, and three or four transthoracic ports might be too much for a 21st century minimally invasive procedure. Although the first NOTES approach was a transvaginal procedure described by Decker and Cherry 11 in 1944, the enthusiasm about this technique 15 and transesophageal 16 accesses.…”

Section: Discussionmentioning

confidence: 99%

“…Since then, many other authors have adopted the surgical correction of EA by the thoracoscopic approach, and it is already the gold standard in many centers. 4,5 After laparoscopy and thoracoscopy, a new paradigm shift was beginning to emerge: natural orifice translumenal endoscopic surgery (NOTES). Several complex surgeries like cholecystectomy 6 or nephrectomy 7 have been described by our group in experimental porcine models.…”

Section: Introductionmentioning

confidence: 99%

Transthoracic Single Port with Peroral Assistance: An Animal Experiment to Assess a Less Invasive Technique for Human Esophageal Atresia Repair

Henriques‐Coelho

Soares

Miranda

et al. 2012

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Thoracoscopic repair of esophageal atresia has becoming the gold standard in many centers because it allows a better cosmetic result and avoids the musculoskeletal sequelae of a thoracotomy. Natural orifice translumenal endocopic surgery (NOTES) is a new surgical paradigm, and its human application has already been started in some procedures. In the present study, we explore the feasibility of performing an esophagoesophageal anastomosis using a single transthoracic single port combined with a peroral access in a rabbit model to simulate repair of esophageal atresia by hybrid NOTES in a human newborn. Adult male rabbits (Oryctolagus cuniculus, n=28) were used to perform the surgical protocol. We used a transthoracic telescope with a 3-mm working channel and a flexible endoscope with a 2.2-mm working channel by peroral access. We performed total esophagotomy with peroral scissors followed by an esophagoesophageal anastomosis achieved with a rigid transthoracic scope helped by the peroral operator. Extracorporeal transthoracic knots were performed to complete the anastomosis. The anastomoses were examined in loco and ex loco, after animal sacrifice. We successfully accomplished a complete esophageal anastomosis in all rabbits using a combination of transthoracic and peroral 3-mm instruments. This study provides important insights for a possible translation of hybrid NOTES to human newborns with esophageal atresia. Forward studies to accomplish their feasibility in human newborns will still be necessary.

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

Cited by 42 publications

References 18 publications

Outcomes of thoracoscopy versus thoracotomy for esophageal atresia with tracheoesophageal fistula repair

Outcomes of thoracoscopy versus thoracotomy for esophageal atresia with tracheoesophageal fistula repair

Thoracoscopic Esophageal Atresia Repair in Pakistan: Early Learning Curve

Transthoracic Single Port with Peroral Assistance: An Animal Experiment to Assess a Less Invasive Technique for Human Esophageal Atresia Repair

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