Abstract
Introduction
Thoracoscopy for ED was reported as early as 1992 and continues to be preferred approach even for compressive ED cysts. This systematic review evaluated the thoracoscopic management of esophageal duplications (ED) in children.
Methods
Pubmed and Web of Science were reviewed with search terms “thoracoscopy”, “esophageal”, “duplication” and “children” for articles in English only in the pediatric age (0–18 years) and analyzed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement 2020.
Results
The literature search 1995–2022 revealed 21 articles, of which 9 met the inclusion criteria and offered 14 children (6 girls, 7 boys, 1-no data) ranging from 2 days-15 years (median 4 years) age. There were 2 tubular lesions and 12 cystic duplications. There was equal distribution in the hemithorax (7 each). Twelve patients were operated thoracoscopically and 2 were performed as robot assisted procedures. There was 1 conversion, 4/14 morbidities/complications and 1 reoperation.
Conclusion
Successful thoracoscopic interventions for ED are reported from newborns to adolescents with a is a low rate of conversion. Complications/morbidity are reported in 1/3 cases with only 1 reoperation. There is no mortality reported in pediatric patients undergoing thoracoscopic ED resection.
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Alqadi, G., Saxena, A. Thoracoscopic management of pediatric esophageal duplications: systematic review. J Ped Endosc Surg 5, 95–99 (2023). https://doi.org/10.1007/s42804-023-00188-7
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DOI: https://doi.org/10.1007/s42804-023-00188-7