Association of Operative Approach with Outcomes in Neonates with Esophageal Atresia and Tracheoesophageal Fistula
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In brief
In brief
Retrospective analysis of 855 neonates with EA/TEF from NSQIP database (2014-2018) comparing thoracoscopic versus open repair. Thoracoscopic approach was attempted in 15.6% of cases with 53% conversion rate, showing longer operative times but similar perioperative outcomes to open repair.
Written by the GCMD Library team from the article.
Purpose: We sought to evaluate the impact of thoracoscopic repair on perioperative outcomes in infants with esophageal atresia and tracheoesophageal fistula (EA/TEF).
Methods: The American College of Surgeons National Surgical Quality Improvement Program pediatric database from 2014 to 2018 was queried for all neonates who underwent operative repair of EA/TEF. Operative approach based on intention to treat was correlated with perioperative outcomes, including 30-day postoperative adverse events, in logistic regression models.
Results: Among 855 neonates, initial thoracoscopic repair was performed in 133 (15.6%) cases. Seventy (53%) of these cases were converted to open. Those who underwent thoracoscopic repair were more likely to be full-term (p=0.03) when compared to those in the open repair group. There were no significant differences in perioperative outcome measures based on surgical approach except for operative time (thoracoscopic: 217 min vs. open: 180 min, p