The Current Thoracoscopic Management of Esophageal Atresia

Abstract

The thoracoscopic repair of esophageal atresia with tracheoesophageal fistula is a complex neonatal minimally invasive procedure. The thoracoscopic approach is now nearing its third decade of experience and but is overall still not widely utilized, only in skilled centers and by experienced surgeons. This article will summarize the recent advancements in technique and knowledge in the thoracoscopic approach to this challenging neonatal congenital abnormality.

Keywords

esophageal atresia - tracheoesophageal fistula - thoracoscopy

• References

• 1 Haight C, Towsley H. Congenital atresia of the esophagus with tracheoesophageal fistula: extrapleural ligation of fistula and end-to-end anastomosis of esophageal segments. Surg Gynecol Obstet 1943; 76: 672-688
• 2 Lobe TE, Rothenberg SS, Waldschmidt J, Stroeder L. Thoracoscopic repair of esophageal atresia in an infant: a surgical first. Pediatr Endosurg Innovative Tech 1999; 3: 141-148
• 3 Rothenberg SS. Thoracoscopic repair of a tracheoesophageal fistula in a neonate. Pediatr Endosurg Innovative Tech 2000; 4: 150-156
• 4 Bastard F, Bonnard A, Rousseau V. , et al. Thoracic skeletal anomalies following surgical treatment of esophageal atresia. Lessons from a national cohort. J Pediatr Surg 2018; 53 (04) 605-609
• 5 Lal DR, Gadepalli SK, Downard CD. , et al; Midwest Pediatric Surgery Consortium. Perioperative management and outcomes of esophageal atresia and tracheoesophageal fistula. J Pediatr Surg 2017; 52 (08) 1245-1251
• 6 Lal D, Miyano G, Juang D, Sharp NE, St Peter SD. Current patterns of practice and technique in the repair of esophageal atresia and tracheoesophageal fistula: an IPEG survey. J Laparoendosc Adv Surg Tech A 2013; 23 (07) 635-638
• 7 Baird R, Lal DR, Ricca RL. , et al. Management of long gap esophageal atresia: a systematic review and evidence-based guidelines from the APSA Outcomes and Evidence Based Practice Committee. J Pediatr Surg 2019; 54 (04) 675-687
• 8 Bogusz B, Patkowski D, Gerus S, Rasiewicz M, Górecki W. Staged thoracoscopic repair of long-gap esophageal atresia without temporary gastrostomy. J Laparoendosc Adv Surg Tech A 2018; 28 (12) 1510-1512
• 9 Tainaka T, Uchida H, Tanano A. , et al. Two-stage thoracoscopic repair of long-gap esophageal atresia using internal traction is safe and feasible. J Laparoendosc Adv Surg Tech A 2017; 27 (01) 71-75
• 10 van der Zee DC, Gallo G, Tytgat SH. Thoracoscopic traction technique in long gap esophageal atresia: entering a new era. Surg Endosc 2015; 29 (11) 3324-3330
• 11 Silverberg JT, Diaz-Miron J, Jarboe MD. , et al. Use of thoracoscopic traction to repair long-gap esophageal atresia. Videoscopy 2019 29. (05). Doi: 10.1089/vor.2019.0590
• 12 Rothenberg SS. Thoracoscopic management of non-type C esophageal atresia and tracheoesophageal atresia. J Pediatr Surg 2017; S0022-3468(17)30647-4
• 13 Fallon SC, Langer JC, St Peter SD. , et al. Congenital H-type tracheoesophageal fistula: a multicenter review of outcomes in a rare disease. J Pediatr Surg 2017; 52 (11) 1711-1714
• 14 Bence CM, Sullins VF, Xiao J. , et al. Thoracoscopic repair of proximal h-type tracheoesophageal fistula. Videoscopy 2019 29. (03). Doi: 10.1089/vor.2019.0584
• 15 Aguilera-Pujabet M, Gahete JAM, Guillén G. , et al. Management of neonates with right-sided aortic arch and esophageal atresia: International survey on IPEG AND ESPES members' experience. J Pediatr Surg 2018; 53 (10) 1923-1927
• 16 Parolini F, Armellini A, Boroni G, Bagolan P, Alberti D. The management of newborns with esophageal atresia and right aortic arch: a systematic review or still unsolved problem. J Pediatr Surg 2016; 51 (02) 304-309
• 17 Lal DR, Gadepalli SK, Downard CD. , et al; Midwest Pediatric Surgery Consortium. Infants with esophageal atresia and right aortic arch: characteristics and outcomes from the Midwest Pediatric Surgery Consortium. J Pediatr Surg 2019; 54 (04) 688-692
• 18 Fraser JD, Oyetunji T. Right-sided thoracoscopic repair of esophageal atresia with tracheoesophageal fistula in a 2kg infant with a right-sided aortic arch. Video. 48th Annual Meeting of the American Pediatric Surgical Association, May 4–7, 2017
• 19 Okuyama H, Tazuke Y, Ueno T. , et al. Learning curve for the thoracoscopic repair of esophageal atresia with tracheoesophageal fistula. Asian J Endosc Surg 2018; 11 (01) 30-34
• 20 Hiradfar M, Gharavifard M, Shojaeian R. , et al. Thoracoscopic esophageal atresia with tracheoesophageal fistula repair: the first Iranian group report, passing the learning curve. J Neonatal Surg 2016; 5 (03) 29
• 21 Lee S, Lee SK, Seo JM. Thoracoscopic repair of esophageal atresia with tracheoesophageal fistula: overcoming the learning curve. J Pediatr Surg 2014; 49 (11) 1570-1572
• 22 Tanaka Y, Tainaka T, Sumida W. , et al. Comparison of outcomes of thoracoscopic primary repair of gross type C esophageal atresia performed by qualified and non-qualified surgeons. Pediatr Surg Int 2017; 33 (10) 1081-1086
• 23 Baumann LM, Barsness KA. The case for simulation-based mastery learning education courses for practicing surgeons. J Laparoendosc Adv Surg Tech A 2018; 28 (09) 1125-1128
• 24 Gause CD, Hsiung G, Schwab B, Clifton M, Harmon CM, Barsness KA. Advances in pediatric surgical education: a critical appraisal of two consecutive minimally invasive pediatric surgery training courses. J Laparoendosc Adv Surg Tech A 2016; 26 (08) 663-670
• 25 Wu Y, Kuang H, Lv T, Wu C. Comparison of clinical outcomes between open and thoracoscopic repair for esophageal atresia with tracheoesophageal fistula: a systematic review and meta-analysis. Pediatr Surg Int 2017; 33 (11) 1147-1157
• 26 Yang YF, Dong R, Zheng C. , et al. Outcomes of thoracoscopy versus thoracotomy for esophageal atresia with tracheoesophageal fistula repair: a PRISMA-compliant systematic review and meta-analysis. Medicine (Baltimore) 2016; 95 (30) e4428
• 27 Woo S, Lau S, Yoo E, Shaul D, Sydorak R. Thoracoscopic versus open repair of tracheoesophageal fistulas and rates of vocal cord paresis. J Pediatr Surg 2015; 50 (12) 2016-2018
• 28 Miyano G, Seo S, Nakamura H. , et al. Changes in quality of life from infancy to school age after esophagoesophagostomy for tracheoesophageal fistula: thoracotomy versus thoracoscopy. Pediatr Surg Int 2017; 33 (10) 1087-1090
• 29 Fusco JC, Calisto JL, Gaines BA, Malek MM. A large single-institution review of tracheoesophageal fistulae with evaluation of the use of transanastomotic feeding tubes. J Pediatr Surg 2017; pii:S0022-3468(17)30648-6
• 30 Lal DR, Gadepalli SK, Downard CD. , et al; Midwest Pediatric Surgery Consortium. Challenging surgical dogma in the management of proximal esophageal atresia with distal tracheoesophageal fistula: outcomes from the Midwest Pediatric Surgery Consortium. J Pediatr Surg 2018; 53 (07) 1267-1272