Skip to main content
SpringerLink
Log in

Thoracoscopic repair of esophageal atresia and tracheo-esophageal fistula in neonates: the current state of the art

  • Review Article
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

Abstract

The first thoracoscopic esophageal atresia with tracheo-esophageal fistula (EATEF) repair was performed in March of 2000. This report evaluates the results and evolution of the technique over the last decade. Thoracoscopic esophageal atresia repair has proven to be an effective and safe technique. Initial experience resulted in a higher stricture rate but this improved with experience and changes in technique over the last decade. The outcomes are similar to or superior to that of an open thoracotomy and avoid the musculoskeletal morbidity associated with that technique.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Ladd WE (1944) The surgical treatment of esophageal atresia and tracheo-esophageal fistulas. N Engl J Med 230:625–637

    Article  Google Scholar 

  2. Koop CE, Hamilton JP (1965) Atresia of the esophagus: increased survival with staged procedures in the poor-risk infant. Ann Surg 162:389–401

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  3. Engum SA, Grosfeld JL, West KA et al (1995) Analysis of morbidity and mortality in 227 cases of esophageal atresia and/or tracheo-esophageal fistula over two decades. Arch Surg 130:502–509

    Article  PubMed  CAS  Google Scholar 

  4. Rothenberg SS, Chang HT, Bealer JF (1998) Experience with minimally invasive surgery in Infants. Am J Surg 176:654–658

    Article  PubMed  CAS  Google Scholar 

  5. Takao Fujimoto, Segewa O, Ezaki S, Miyano T (1999) Laparoscopic surgery for newborn infants. Surg Endosc 13:773–777

    Article  Google Scholar 

  6. Rothenberg SS, Chang JHT, Toews WH, Washington RL (1995) Thoracoscopic closure of patent ductus arteriosus: a less traumatic and more cost-effective technique. J Pediatr Surg 30:1057–1060

    Article  PubMed  CAS  Google Scholar 

  7. Rothenberg SS, Chang JHT, Bealer J (2004) First decades experience with minimally invasive surgery in neonates. Pediatr Endosurg Innovative Tech. 8:88–94

    Google Scholar 

  8. Ponsky TA, Rothenberg SS (2008) Minimally invasive surgery in infants less than 5 kg: experience of 649 cases. Surg Endosc 22:2214–2219

    Article  PubMed  Google Scholar 

  9. Lobe TE, Rothenberg SS, Waldschmidt J, Stroeder L (1999) Thoracoscopic repair of esophageal atresia in an infant: a surgical first. Pediatr Endosurg Innovative Tech 3:141–148

    Article  Google Scholar 

  10. Rothenberg SS (2000) Thoracoscopic repair of a tracheo-esophageal in a neonate. Pediatr Endosurg Innovative Tech 4:150–156

    Google Scholar 

  11. Rothenberg SS (2002) Thoracoscopic repair of tracheo-esophageal fistula and esophageal atresia in newborns. J Pediatr Surg 37:869–872

    Article  PubMed  Google Scholar 

  12. Little DC, Rescorla FJ, Grosfeld JL et al (2003) J Pediatr Surg 6:852–856

    Article  Google Scholar 

  13. Konkin DE, Ohal WA, Webber EM et al (2003) J Pediatr Surg 12:1726–1729

    Article  Google Scholar 

  14. Freeman NV, Walkden J (1969) Previously unreported shoulder deformity following right lateral thoracotomy for esophageal atresia. J Pediatr Surg 4:627–636

    Article  PubMed  CAS  Google Scholar 

  15. Vaiquez JJ, Murcia J, DiezPardo JA (1995) Morbid musculoskeletal sequelae of thoracotomy for tracheo-esophageal fistula. J Pediatr Surg 20:511–514

    Google Scholar 

  16. Durning RP, Scoles PV, Fox OD (1980) Scoliosis after thoracotomy in tracheo-esophageal fistula patients. J Bone Joint Surg Am 62:1156–1158

    PubMed  CAS  Google Scholar 

  17. Bianchi A, Sowende O, Aliza NK et al (1998) Aesthetics and lateral thoracotomy in the neonate. J Pediatr Surg 12:1798–1800

    Article  Google Scholar 

  18. Rothenberg SS (2012) Thoracoscopic repair of esophageal atresia and tracheo-esophageal fistula in neonates: evolution of a technique. J Laparoendosc Adv Surg Tech A 22(2):195–199

    Article  PubMed  Google Scholar 

  19. Lugo B, Malhotra A, Guner Y, Nguyen T, Ford H, Nguyen N (2008) Thoracoscopic versus open repair of tracheoesopphageal fistula and esophageal atresia. J Laproendosc Adv Surg Tech 18(5):753–756

    Article  Google Scholar 

  20. Al Tokhais T, Zamakhshary M, Aldekhayel S, Mandora H, Sayed S, AlHarbi K, Alqahtani A (2008) Thoracoscopic repair of tracheo-esophageal fistulas; a case controlled matched study. J Pediatric Surg. 43(5):805–809

    Article  Google Scholar 

  21. Lai D, Miyano G, Juang D, Sharp N, St Peter S (2013) Current patterns of practice and technique in the repair of esophageal atresia and tracheo-esophageal fistula: an IPEG survey. J Laproendosc Adv Surg Tech (7):635–638

  22. Borruto F, Impellizzeri P, Monatatto A et al (2012) Thoracoscopy versus thoracotomy for esophageal atresia and tracheo-esophageal fistula: review of the literature and meta-analysis. Eur J Pediatr Surg 22(6):415–419

    Article  PubMed  Google Scholar 

  23. Bishay M, Giacomello L, Retrosi G et al (2013) Hypercapnia and acidosis during open and thoracoscopic repair of congenital diaphragmatic hernia and esophageal atresia : results of a pilot randomized controlled trial. Ann Surg 25(6):895–900

    Article  Google Scholar 

  24. Stolwijk L, Tytgat S, Keunen K, et al The Effects of CO2 insufflation of cerebral oxygenation in neonates during thoracoscopic repair of esophageal atresia. Presented at EUPSA annual congress, Dublin June 2014

  25. Stolwijk L, Tytgat S, Keunen, et al The effects of CO2-insufflation with 5 and 10 mmHg during thoracoscopy on cerebral oxygenation and hemodynamics in PIGLETS. Presented IPEG, Edinburgh July 2014

Download references

Author information

Authors and Affiliations

  1. Rocky Mountain Hospital for Children, Denver, CO, USA

    Steven Rothenberg

Authors
  1. Steven Rothenberg
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Steven Rothenberg.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Rothenberg, S. Thoracoscopic repair of esophageal atresia and tracheo-esophageal fistula in neonates: the current state of the art. Pediatr Surg Int 30, 979–985 (2014). https://doi.org/10.1007/s00383-014-3586-7

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00383-014-3586-7

Keywords

Search

Navigation