Thoracoscopic repair of tracheoesophageal fistulas: a case-control matched study.
BACKGROUND
To date, there is no comparative study of thoracoscopic repair (TR) vs conventional open repair (COR) for tracheoesophageal fistula (TEF). The aim of the study was to compare the 2 techniques in neonates with TEF.


METHODS
A multi-institutional case-control study of cases of TEF was undertaken. The minimum follow-up was 6 months. Patients were considered for TR based on surgeon's preference. Cases were frequency matched on a 1:1 ratio based on gestational age and weight. Outcomes of interest were operative time, postoperative leaks, and postoperative stricture development. Statistical analysis using univariate analysis was performed.


RESULTS
Twenty-three neonates underwent TR. There were no differences between TR and COR groups with regard to weight and gestational age. The distribution of associated anomalies was similar in both groups. The mean operative time was 149.4 and 179 minutes in TR and COR, respectively (P = .18). Three patients were converted to COR. There were 4 leaks in TR and 3 in COR (P = .728). Inversely, 2 patients in the TR group developed a stricture necessitating dilation as compared with 4 patients in the COR group (P = .414).


CONCLUSIONS
Thoracoscopic repair of TEF is safe and comparable with conventional open repair.
Al Tokhais
Tariq
T
Department of Surgery, King Saud University, College of Medicine, Riyadh 11671, Saudi Arabia.
Zamakhshary
Mohammed
M
Aldekhayel
Salah
S
Mandora
Hala
H
Sayed
Salahuddin
S
AlHarbi
Khalid
K
Alqahtani
Aayed R
AR
D016022:Case-Control Studies; D005500:Follow-Up Studies; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D012189:Retrospective Studies; D013906:Thoracoscopy / Q000379:methods*; D014138:Tracheoesophageal Fistula / Q000601:surgery*; D016896:Treatment Outcome