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CASE REPORT
Thoracoscopic recurrent tracheo-oesophageal fistula repair with mini endostapler: promising solution
  1. Indalecio Cano Novillo1,
  2. Belén Aneiros Castro2,
  3. Araceli García Vázquez1 and
  4. Mónica De Miguel Moya3
  1. 1 Pediatric Surgery, Hospital Universitario 12 de Octubre, Madrid, Spain
  2. 2 Pediatric Surgery, Hospital Álvaro Cunqueiro, Vigo, Spain
  3. 3 Anesthesiology, Hospital Universitario 12 de Octubre, Madrid, Spain
  1. Correspondence to Dr Belén Aneiros Castro, belenaneiroscastro{at}gmail.com

Abstract

Recurrent tracheo-oesophageal fistula (TOF) is a common complication in children who underwent oesophageal atresia repair. The traditional surgical approach performed either by thoracotomy or cervicotomy is associated with a high rate of morbidity, mortality and new recurrence. In the last decades, endoscopic techniques have emerged as the minimally invasive alternative. However, it seems that the optimal treatment is still unknown. We present a patient with a recurrent TOF who underwent thoracoscopic closure using a 5.8 mm endostapler. The patient was extubated at the end of the procedure, and he started feeding the day after surgery. At 15 months of follow-up, he is asymptomatic. Thoracoscopic closure of TOF using endostaplers seems to be a safe alternative with some possible benefits compared with traditional and endoscopic approach.

  • surgery
  • oesophagus
  • congenital disorders
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Footnotes

  • Contributors ICN, BAC and AGV participated in designing the study. BAC, AGV and MDMM participated in gathering the data for the study. ICN and MDMM participated in the analysis of the data. ICN, BAC and AGV wrote the majority of the original draft of the paper. ICN, BAC and MDMM revised the paper critically for important intellectual content. All the authors approved the final version of this paper.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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