Vol. 8, Issue 3, Part A (2024)
Thoracotomy versus thoracoscopy in repair of esophageal atresia, prospective comparative study: As a review of literature
Author(s):
Abdelbaset Ali Ahmed, Nabil Youssef Salah ElDin and Mohamed Youssef Batikh
Abstract:
Background: Esophageal atresia (EA) is a congenital anomaly that specifically impacts
newborns. Esophageal atresia is identified shortly after birth and is defined
by a structural gap in the esophagus. The standard technique entails conducting
an open thoracotomy to tie off the fistula, if present, and connecting the ends
of the esophagus together. With the advent of minimally invasive surgery, it
was expected that thoracoscopic procedures will be used to treat
tracheoesophageal fistula with esophageal atresia (TEF) and pure EA.
Objective: This review aims to compare between the thoracoscopic and conventional
open repair of esophageal atresia in neonates.
Methods: The data was
collected through a comprehensive search that was conducted in Google Scholar,
PubMed, and Science Direct, encompassing the time frame from January 2000 to
July 2024. The search utilized the following keywords: thoracotomy,
thoracoscopy, esophageal atresia, trachea-esophageal fistula, and congenital
anomaly. The reviewers also reviewed relevant literature references. The most
current or comprehensive study was taken into consideration. Unpublished
papers, oral presentations, conference abstracts, and dissertations are some
examples of publications that were not considered essential scientific research.
Papers authored in languages other than English have been neglected due to a
lack of translation resources.
Results: Esophageal atresia
(EA), with or without a trachea-esophageal (TEF) fistula, is a very uncommon
congenital anomaly that affects approximately one in every 3,000 infants.
Traditionally, many surgical centers use open, right-sided, muscle-sparing
thoracotomy as the usual method for repairing EA/TEF. However, multiple
publications have demonstrated that thoracoscopic repair (TR) is both effective
and safe.
Conclusion: Thoracoscopic repair of esophageal atresia/tracheoesophageal fistula
(EA/TEF) is a safe and effective minimally invasive method. It has a similar
operation time and complication rate compared to conventional open repair (COR).
Pages: 22-29 | 327 Views 187 Downloads
How to cite this article:
Abdelbaset Ali Ahmed, Nabil Youssef Salah ElDin and Mohamed Youssef Batikh. Thoracotomy versus thoracoscopy in repair of esophageal atresia, prospective comparative study: As a review of literature. Int. J. Surg. Sci. 2024;8(3):22-29. DOI: https://doi.org/10.33545/surgery.2024.v8.i3a.1091
