Thoracoscopic repair of esophageal atresia View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-10-14

AUTHORS

Hiroomi Okuyama, Ryuta Saka, Yuichi Takama, Motonari Nomura, Takehisa Ueno, Yuko Tazuke

ABSTRACT

Thoracoscopic repair (TR) of esophageal atresia (EA) has been performed with increasing frequency over the last two decades, with the expectation of improved outcomes by avoiding thoracotomy. To understand the current practice and outcomes of TR of EA, we reviewed the relevant literature, including 15 case series, 7 comparative studies, and 3 meta-analysis comparing TR with conventional open repair (COR). Most of the studies had a retrospective design and small numbers of patients. Although the evidence level is low because of the lack of prospective studies, this review found that TR is as safe as COR, with comparative outcomes. Moreover, there were several advantages of TR over COR, such as less blood loss and a shorter hospital stay. The long-term outcomes of TR remain unclear because of limited data. Moreover, there is a significant learning curve over the first 10–20 TRs performed. We conclude that TR of EA, when conducted by experienced surgeons, is a safe and minimally invasive alternative to COR and may yield better results than COR in appropriately selected patients. More... »

PAGES

966-973

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00595-019-01884-9

DOI

http://dx.doi.org/10.1007/s00595-019-01884-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1121783898

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/31612332


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