Thoracoscopic versus open repair of esophageal atresia with tracheoesophageal fistula at a single institution

Masaya Yamoto, Naoto Urusihara, Koji Fukumoto, Go Miyano, Hiroshi Nouso, Keiichi Morita, Hiromu Miyake, Masakatsu Kaneshiro

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Purpose: The potential benefits of thoracoscopic repair (TR) of esophageal atresia and tracheoesophageal fistula (EA/TEF) in newborns are still unclear. Our aim was to define the criteria, perioperative outcome after undergoing TR versus open repair (OR) for EA/TEF. Patients and methods: A retrospective chart review was conducted of 36 consecutive neonates who underwent EA/TEF repair between 2001 and 2012 in Shizuoka Children's Hospital. Patients in this study were birth weight >2,000 g, and did not have severe cardiac malformations or chromosomal aberrations. Of the 26 newborns who met the selection criteria, 11 patients underwent attempts at TR compared to 15 patients who underwent OR. All cases were followed 1 year after operation at least. Results: All 11 TR were successfully completed. There were no significant differences between intra- and perioperative complications in the two groups. Intraoperative EtCO2 and arterial blood gases were not significantly different between the two groups. We did not found eating disorder, respiratory disorder, and failure of growth in all cases. Conclusion: In our study, the thoracoscopic approach appeared to be favorable and safe for EA/TEF repair in carefully selected patients.

Original languageEnglish
Pages (from-to)883-887
Number of pages5
JournalPediatric Surgery International
Volume30
Issue number9
DOIs
Publication statusPublished - Sep 2014
Externally publishedYes

Fingerprint

Newborn Infant
Growth Disorders
Intraoperative Complications
Birth Weight
Chromosome Aberrations
Respiratory Insufficiency
Patient Selection
Gases
Esophageal atresia with or without tracheoesophageal fistula
Feeding and Eating Disorders

Keywords

  • Esophageal atresia
  • One-lung ventilation
  • Thoracoscopy
  • Tracheoesophageal fistula

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

Thoracoscopic versus open repair of esophageal atresia with tracheoesophageal fistula at a single institution. / Yamoto, Masaya; Urusihara, Naoto; Fukumoto, Koji; Miyano, Go; Nouso, Hiroshi; Morita, Keiichi; Miyake, Hiromu; Kaneshiro, Masakatsu.

In: Pediatric Surgery International, Vol. 30, No. 9, 09.2014, p. 883-887.

Research output: Contribution to journalArticle

Yamoto, Masaya ; Urusihara, Naoto ; Fukumoto, Koji ; Miyano, Go ; Nouso, Hiroshi ; Morita, Keiichi ; Miyake, Hiromu ; Kaneshiro, Masakatsu. / Thoracoscopic versus open repair of esophageal atresia with tracheoesophageal fistula at a single institution. In: Pediatric Surgery International. 2014 ; Vol. 30, No. 9. pp. 883-887.
@article{1d5f17af17f841b08d8d1f260f5f0ac2,
title = "Thoracoscopic versus open repair of esophageal atresia with tracheoesophageal fistula at a single institution",
abstract = "Purpose: The potential benefits of thoracoscopic repair (TR) of esophageal atresia and tracheoesophageal fistula (EA/TEF) in newborns are still unclear. Our aim was to define the criteria, perioperative outcome after undergoing TR versus open repair (OR) for EA/TEF. Patients and methods: A retrospective chart review was conducted of 36 consecutive neonates who underwent EA/TEF repair between 2001 and 2012 in Shizuoka Children's Hospital. Patients in this study were birth weight >2,000 g, and did not have severe cardiac malformations or chromosomal aberrations. Of the 26 newborns who met the selection criteria, 11 patients underwent attempts at TR compared to 15 patients who underwent OR. All cases were followed 1 year after operation at least. Results: All 11 TR were successfully completed. There were no significant differences between intra- and perioperative complications in the two groups. Intraoperative EtCO2 and arterial blood gases were not significantly different between the two groups. We did not found eating disorder, respiratory disorder, and failure of growth in all cases. Conclusion: In our study, the thoracoscopic approach appeared to be favorable and safe for EA/TEF repair in carefully selected patients.",
keywords = "Esophageal atresia, One-lung ventilation, Thoracoscopy, Tracheoesophageal fistula",
author = "Masaya Yamoto and Naoto Urusihara and Koji Fukumoto and Go Miyano and Hiroshi Nouso and Keiichi Morita and Hiromu Miyake and Masakatsu Kaneshiro",
year = "2014",
month = "9",
doi = "10.1007/s00383-014-3554-2",
language = "English",
volume = "30",
pages = "883--887",
journal = "Pediatric Surgery International",
issn = "0179-0358",
publisher = "Springer Verlag",
number = "9",

}

TY - JOUR

T1 - Thoracoscopic versus open repair of esophageal atresia with tracheoesophageal fistula at a single institution

AU - Yamoto, Masaya

AU - Urusihara, Naoto

AU - Fukumoto, Koji

AU - Miyano, Go

AU - Nouso, Hiroshi

AU - Morita, Keiichi

AU - Miyake, Hiromu

AU - Kaneshiro, Masakatsu

PY - 2014/9

Y1 - 2014/9

N2 - Purpose: The potential benefits of thoracoscopic repair (TR) of esophageal atresia and tracheoesophageal fistula (EA/TEF) in newborns are still unclear. Our aim was to define the criteria, perioperative outcome after undergoing TR versus open repair (OR) for EA/TEF. Patients and methods: A retrospective chart review was conducted of 36 consecutive neonates who underwent EA/TEF repair between 2001 and 2012 in Shizuoka Children's Hospital. Patients in this study were birth weight >2,000 g, and did not have severe cardiac malformations or chromosomal aberrations. Of the 26 newborns who met the selection criteria, 11 patients underwent attempts at TR compared to 15 patients who underwent OR. All cases were followed 1 year after operation at least. Results: All 11 TR were successfully completed. There were no significant differences between intra- and perioperative complications in the two groups. Intraoperative EtCO2 and arterial blood gases were not significantly different between the two groups. We did not found eating disorder, respiratory disorder, and failure of growth in all cases. Conclusion: In our study, the thoracoscopic approach appeared to be favorable and safe for EA/TEF repair in carefully selected patients.

AB - Purpose: The potential benefits of thoracoscopic repair (TR) of esophageal atresia and tracheoesophageal fistula (EA/TEF) in newborns are still unclear. Our aim was to define the criteria, perioperative outcome after undergoing TR versus open repair (OR) for EA/TEF. Patients and methods: A retrospective chart review was conducted of 36 consecutive neonates who underwent EA/TEF repair between 2001 and 2012 in Shizuoka Children's Hospital. Patients in this study were birth weight >2,000 g, and did not have severe cardiac malformations or chromosomal aberrations. Of the 26 newborns who met the selection criteria, 11 patients underwent attempts at TR compared to 15 patients who underwent OR. All cases were followed 1 year after operation at least. Results: All 11 TR were successfully completed. There were no significant differences between intra- and perioperative complications in the two groups. Intraoperative EtCO2 and arterial blood gases were not significantly different between the two groups. We did not found eating disorder, respiratory disorder, and failure of growth in all cases. Conclusion: In our study, the thoracoscopic approach appeared to be favorable and safe for EA/TEF repair in carefully selected patients.

KW - Esophageal atresia

KW - One-lung ventilation

KW - Thoracoscopy

KW - Tracheoesophageal fistula

UR - http://www.scopus.com/inward/record.url?scp=84908357275&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84908357275&partnerID=8YFLogxK

U2 - 10.1007/s00383-014-3554-2

DO - 10.1007/s00383-014-3554-2

M3 - Article

C2 - 25052256

AN - SCOPUS:84908357275

VL - 30

SP - 883

EP - 887

JO - Pediatric Surgery International

JF - Pediatric Surgery International

SN - 0179-0358

IS - 9

ER -