ArticlePediatric surgery international2026
Thoracoscopic staged repair for type A and type B esophageal atresia: outcomes from a tertiary center.
Article in Pediatric surgery international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Surgical Strategies for Native Esophagus Preservation in Long-Gap Esophageal Atresia: A 20-Year Population-Based Study.Journal of clinical medicine · 2026Article
Corrections and comments
- Erratum issued
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate outcomes of thoracoscopic staged internal traction combined with a waiting period in long-gap esophageal atresia (LGEA) at a single center.
methodsRetrospective analysis of perinatal characteristics, surgical interventions, postoperative complications, and long-term outcomes in LGEA patients undergoing delayed thoracoscopic staged repair between 2018 and 2024.
resultsAmong141 esophageal atresia repairs, 15 patients had LGEA (13 Gross type A, 2 type B). All patients underwent gastrostomy placement. The first thoracoscopic stage occurred at a median age 2.4 months (1.1-3.7). Internal traction was applied in 13/15 (86%), two required gastric interposition (GI) for an extreme long gap diagnosed at initial thoracoscopy. Traction patients underwent a median of 2 tractions (1-3). Delayed anastomosis was achieved in 10/13 (77%) within a median 11.5 days (6-43) from first thoracoscopy. In three, anastomosis remained unfeasible after traction due to a persistent long gap, necessitating GI. Complications included one recurrent fistula, one leak, and five strictures requiring a median 1.5 dilatations (1-7). At a median 50-month follow-up (12-91), all delayed-anastomosis patients and 60% of GI patients tolerated full oral feeds.
conclusionA delayed thoracoscopic staged internal traction enabled safe anastomosis with a low complication rate; however, one-third of patients required GI.
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