Staged thoracoscopic internal traction approach for early repair of long-gap esophageal atresia (LGEA) with distal tracheoesophageal fistula (TEF)

This article describes a staged thoracoscopic technique using internal traction for early repair of long-gap esophageal atresia with distal tracheoesophageal fistula. The approach addresses the surgical challenge of bridging significant gaps between esophageal segments in neonates while minimizing the need for open thoracotomy.