ArticlePediatric surgery international2026
Modified thoracoscopic anastomosis of esophageal atresia with tracheoesophageal fistula.
Article in Pediatric surgery international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveThis study aims to evaluate the modified thoracoscopic esophageal anastomotic methods in cases with esophageal atresia with tracheoesophageal fistula (EA-TEF).
methodsFrom January 2019 to August 2024, a total of 12 consecutive infants with type 3 EA-TEF underwent modified thoracoscopic esophageal anastomosis in our department. The modified methods (Group A) included: (1) posterior wall anastomosis performed using two mattress sutures with 5 − 0 PDS; (2) subsequently, the anterior wall anastomosis was completed with continuous locked stitches using 5 − 0 PDS. The outcomes were compared with those of the conventional group (Group B, n = 15), who underwent traditional esophageal anastomosis with interrupted sutures during the same period.
resultsIn Group A, the operative time was 123.7 ± 12.0 min (range, 105–135 min), while in Group B, the operative time was 145.7 ± 13.5 min (range, 135–185 min). A significant difference was observed in operative time between the two groups (P < 0.001). The duration of the esophageal anastomosis is 36.0 ± 3.9 min (range 22–45) in group A, 44.4 ± 4.1 min (range, 38–52) in group B (P<0.001). In Group A, two patients experienced small leaks; similarly, three patients in Group B demonstrated small leaks, there was no significant difference between the two groups (P>0.05). Five cases formatted stricture needed dilation in group A, and four cases in group B (P>0.05).
conclusionThe modified method is an effective and safe technique in EA-TEF capable of minimizing the operative time without increasing morbidity and mortality.
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