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01-09-2014 | Original Article

Thoracoscopic versus open repair of esophageal atresia with tracheoesophageal fistula at a single institution

Authors: Masaya Yamoto, Naoto Urusihara, Koji Fukumoto, Go Miyano, Hiroshi Nouso, Keiichi Morita, Hiromu Miyake, Masakatsu Kaneshiro

Published in: Pediatric Surgery International | Issue 9/2014

Abstract

Purpose

The potential benefits of thoracoscopic repair (TR) of esophageal atresia and tracheoesophageal fistula (EA/TEF) in newborns are still unclear. Our aim was to define the criteria, perioperative outcome after undergoing TR versus open repair (OR) for EA/TEF.

Patients and methods

A retrospective chart review was conducted of 36 consecutive neonates who underwent EA/TEF repair between 2001 and 2012 in Shizuoka Children’s Hospital. Patients in this study were birth weight >2,000 g, and did not have severe cardiac malformations or chromosomal aberrations. Of the 26 newborns who met the selection criteria, 11 patients underwent attempts at TR compared to 15 patients who underwent OR. All cases were followed 1 year after operation at least.

Results

All 11 TR were successfully completed. There were no significant differences between intra- and perioperative complications in the two groups. Intraoperative EtCO₂ and arterial blood gases were not significantly different between the two groups. We did not found eating disorder, respiratory disorder, and failure of growth in all cases.

Conclusion

In our study, the thoracoscopic approach appeared to be favorable and safe for EA/TEF repair in carefully selected patients.

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Title: Thoracoscopic versus open repair of esophageal atresia with tracheoesophageal fistula at a single institution
Authors: Masaya Yamoto
Naoto Urusihara
Koji Fukumoto
Go Miyano
Hiroshi Nouso
Keiichi Morita
Hiromu Miyake
Masakatsu Kaneshiro
Publication date: 01-09-2014
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Surgery International / Issue 9/2014
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-014-3554-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Thoracoscopic versus open repair of esophageal atresia with tracheoesophageal fistula at a single institution

Abstract

Purpose

Patients and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Patients and methods

Results

Conclusion

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