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Surgery Today
Published in: Surgery Today 9/2020

01-09-2020 | Esophageal Atresia | Review Article

Thoracoscopic repair of esophageal atresia

Authors: Hiroomi Okuyama, Ryuta Saka, Yuichi Takama, Motonari Nomura, Takehisa Ueno, Yuko Tazuke

Published in: Surgery Today | Issue 9/2020

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Abstract

Thoracoscopic repair (TR) of esophageal atresia (EA) has been performed with increasing frequency over the last two decades, with the expectation of improved outcomes by avoiding thoracotomy. To understand the current practice and outcomes of TR of EA, we reviewed the relevant literature, including 15 case series, 7 comparative studies, and 3 meta-analysis comparing TR with conventional open repair (COR). Most of the studies had a retrospective design and small numbers of patients. Although the evidence level is low because of the lack of prospective studies, this review found that TR is as safe as COR, with comparative outcomes. Moreover, there were several advantages of TR over COR, such as less blood loss and a shorter hospital stay. The long-term outcomes of TR remain unclear because of limited data. Moreover, there is a significant learning curve over the first 10–20 TRs performed. We conclude that TR of EA, when conducted by experienced surgeons, is a safe and minimally invasive alternative to COR and may yield better results than COR in appropriately selected patients.
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Metadata
Title
Thoracoscopic repair of esophageal atresia
Authors
Hiroomi Okuyama
Ryuta Saka
Yuichi Takama
Motonari Nomura
Takehisa Ueno
Yuko Tazuke
Publication date
01-09-2020
Publisher
Springer Singapore
Published in
Surgery Today / Issue 9/2020
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-019-01884-9

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