Repair of esophageal atresia with tracheoesophageal fistula via thoracotomy: a contemporary series. Burford, J. M., Dassinger, M. S., Copeland, D. R., Keller, J. E., & Smith, S. D. American Journal of Surgery, 202(2):203–206, August, 2011. doi abstract bibtex BACKGROUND: A recent series detailing thoracoscopic repair of esophageal atresia with tracheoesophageal fistula (EA/TEF) reported lower complication rates compared with historic controls. This study provides a contemporary cohort of patients repaired via thoracotomy for comparison with the recent large multi-institutional thoracoscopic series. METHODS: Records of patients with EA/TEF between 1993 and 2008 were reviewed. Attention was focused on demographics and complications including anastomotic leak, recurrent fistulae, stricture formation, and need for fundoplication. RESULTS: Seventy-two patients underwent repair of EA/TEF via thoracotomy. Complication rates in the current series compared with the thoracoscopic series were anastomotic leak, 2.7% versus 7.6%; recurrent fistulae, 2.7% versus 1.9%; stricture, 5.5% versus 3.8%; and need for fundoplication, 12% versus 24%. Differences in complication rates did not reach statistical significance. Two children in this cohort developed mild scoliosis attributed to congenital vertebral anomalies, neither of whom required intervention. CONCLUSIONS: Thoracoscopic repair of EA/TEF yielded complication rates similar to this contemporary series; however, trends toward increased anastomotic leaks and greater need for fundoplication were noted. No musculoskeletal sequelae were directly attributable to thoracotomy.
@article{burford_repair_2011,
title = {Repair of esophageal atresia with tracheoesophageal fistula via thoracotomy: a contemporary series},
volume = {202},
issn = {1879-1883},
shorttitle = {Repair of esophageal atresia with tracheoesophageal fistula via thoracotomy},
doi = {10.1016/j.amjsurg.2010.09.035},
abstract = {BACKGROUND: A recent series detailing thoracoscopic repair of esophageal atresia with tracheoesophageal fistula (EA/TEF) reported lower complication rates compared with historic controls. This study provides a contemporary cohort of patients repaired via thoracotomy for comparison with the recent large multi-institutional thoracoscopic series.
METHODS: Records of patients with EA/TEF between 1993 and 2008 were reviewed. Attention was focused on demographics and complications including anastomotic leak, recurrent fistulae, stricture formation, and need for fundoplication.
RESULTS: Seventy-two patients underwent repair of EA/TEF via thoracotomy. Complication rates in the current series compared with the thoracoscopic series were anastomotic leak, 2.7\% versus 7.6\%; recurrent fistulae, 2.7\% versus 1.9\%; stricture, 5.5\% versus 3.8\%; and need for fundoplication, 12\% versus 24\%. Differences in complication rates did not reach statistical significance. Two children in this cohort developed mild scoliosis attributed to congenital vertebral anomalies, neither of whom required intervention.
CONCLUSIONS: Thoracoscopic repair of EA/TEF yielded complication rates similar to this contemporary series; however, trends toward increased anastomotic leaks and greater need for fundoplication were noted. No musculoskeletal sequelae were directly attributable to thoracotomy.},
language = {eng},
number = {2},
journal = {American Journal of Surgery},
author = {Burford, Jeffrey M. and Dassinger, Melvin S. and Copeland, Daniel R. and Keller, Jennifer E. and Smith, Samuel D.},
month = aug,
year = {2011},
keywords = {Abnormalities, Multiple, Esophageal Atresia, Female, Humans, Infant, Infant, Newborn, Male, Retrospective Studies, Thoracoscopy, Thoracotomy, Tracheoesophageal Fistula, Treatment Outcome},
pages = {203--206},
}
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METHODS: Records of patients with EA/TEF between 1993 and 2008 were reviewed. Attention was focused on demographics and complications including anastomotic leak, recurrent fistulae, stricture formation, and need for fundoplication. RESULTS: Seventy-two patients underwent repair of EA/TEF via thoracotomy. Complication rates in the current series compared with the thoracoscopic series were anastomotic leak, 2.7% versus 7.6%; recurrent fistulae, 2.7% versus 1.9%; stricture, 5.5% versus 3.8%; and need for fundoplication, 12% versus 24%. Differences in complication rates did not reach statistical significance. Two children in this cohort developed mild scoliosis attributed to congenital vertebral anomalies, neither of whom required intervention. CONCLUSIONS: Thoracoscopic repair of EA/TEF yielded complication rates similar to this contemporary series; however, trends toward increased anastomotic leaks and greater need for fundoplication were noted. No musculoskeletal sequelae were directly attributable to thoracotomy.","language":"eng","number":"2","journal":"American Journal of Surgery","author":[{"propositions":[],"lastnames":["Burford"],"firstnames":["Jeffrey","M."],"suffixes":[]},{"propositions":[],"lastnames":["Dassinger"],"firstnames":["Melvin","S."],"suffixes":[]},{"propositions":[],"lastnames":["Copeland"],"firstnames":["Daniel","R."],"suffixes":[]},{"propositions":[],"lastnames":["Keller"],"firstnames":["Jennifer","E."],"suffixes":[]},{"propositions":[],"lastnames":["Smith"],"firstnames":["Samuel","D."],"suffixes":[]}],"month":"August","year":"2011","keywords":"Abnormalities, Multiple, Esophageal Atresia, Female, Humans, Infant, Infant, Newborn, Male, Retrospective Studies, Thoracoscopy, Thoracotomy, Tracheoesophageal Fistula, Treatment Outcome","pages":"203–206","bibtex":"@article{burford_repair_2011,\n\ttitle = {Repair of esophageal atresia with tracheoesophageal fistula via thoracotomy: a contemporary series},\n\tvolume = {202},\n\tissn = {1879-1883},\n\tshorttitle = {Repair of esophageal atresia with tracheoesophageal fistula via thoracotomy},\n\tdoi = {10.1016/j.amjsurg.2010.09.035},\n\tabstract = {BACKGROUND: A recent series detailing thoracoscopic repair of esophageal atresia with tracheoesophageal fistula (EA/TEF) reported lower complication rates compared with historic controls. This study provides a contemporary cohort of patients repaired via thoracotomy for comparison with the recent large multi-institutional thoracoscopic series.\nMETHODS: Records of patients with EA/TEF between 1993 and 2008 were reviewed. Attention was focused on demographics and complications including anastomotic leak, recurrent fistulae, stricture formation, and need for fundoplication.\nRESULTS: Seventy-two patients underwent repair of EA/TEF via thoracotomy. Complication rates in the current series compared with the thoracoscopic series were anastomotic leak, 2.7\\% versus 7.6\\%; recurrent fistulae, 2.7\\% versus 1.9\\%; stricture, 5.5\\% versus 3.8\\%; and need for fundoplication, 12\\% versus 24\\%. Differences in complication rates did not reach statistical significance. 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