Abstract
Pure esophageal atresia (EA) constitutes 5–7 % of all esophageal atresias. Isolated EA lacks a tracheoesophageal fistula (TEF) and is characterized by a long distance between the esophageal pouches that often precludes primary anastomosis. We propose a treatment algorithm that incorporates the many anatomical factors affecting the timing and technical approach to esophageal reconstruction. We describe thoracoscopic techniques for esophageal lengthening and reconstruction including delayed primary anastomosis, intrathoracic esophageal elongation, extrathoracic esophageal elongation, and esophageal replacement. Using this algorithm, 80 % of EA can be reconstructed thoracoscopically using the native esophagus with excellent functional outcome.
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Padilla, B.E., Martinez-Ferro, M. (2017). Thoracoscopic Repair of Pure Esophageal Atresia. In: Till, H., Thomson, M., Foker, J., Holcomb III, G., Khan, K. (eds) Esophageal and Gastric Disorders in Infancy and Childhood. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11202-7_23
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DOI: https://doi.org/10.1007/978-3-642-11202-7_23
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