Long-Gap Oesophageal Atresia
This chapter describes the evolution from delayed management of long-gap oesophageal atresia to thoracoscopic treatment directly after birth without the placement of a gastrostomy.
Long-gap oesophageal atresia remains a challenge for pediatric surgeons. Over the years several techniques have been described to manage long-gap oesophageal atresia. More recently a traction technique has been advocated. With the advent of minimal invasive surgery, the thoracoscopic elongation technique has been developed.
This chapter describes the single-center experience with the thoracoscopic treatment of patients with long-gap oesophageal atresia.
Initially all patients had a gastrostomy. During the course the technique evolved into delayed primary anastomosis directly after birth without the use of a gastrostomy.
It is shown that thoracoscopic elongation technique in long-gap oesophageal atresia is not only feasible; it can nowadays also be performed directly after birth without the use of a gastrostomy. With this development we have entered a new era in the management of long-gap oesophageal atresia.
KeywordsOesophageal atresia Long-gap Thoracoscopic elongation Traction technique