Musculoskeletal outcomes following thoracoscopic versus conventional open repair of esophageal atresia: A systematic review and meta-analysis from pediatric surgery meta-analysis (PESMA) study group

jpedsurg.org

Thoracic musculoskeletal deformities are a recognized long-term complication after esophageal atresia (EA) repair. Although evidence remains limited, thoracoscopic repair (TR) is thought to reduce morbidity compared to conventional open repair (COR), with potential benefits including earlier recovery, reduced pain, improved cosmesis, and fewer musculoskeletal sequelae. This systematic review and meta-analysis aimed to compare the incidence of musculoskeletal deformities following EA repair via TR versus COR, emphasizing their long-term clinical implications.

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Article · Jun 2025 · 1 min read

In brief

This meta-analysis compares long-term musculoskeletal outcomes in pediatric patients who underwent thoracoscopic versus open repair of esophageal atresia. The study evaluates whether minimally invasive thoracoscopic techniques reduce the incidence of chest wall deformities and scoliosis compared to traditional open approaches.

Thoracic musculoskeletal deformities are a recognized long-term complication following esophageal atresia repair.
Thoracoscopic repair may reduce musculoskeletal sequelae compared to conventional open repair, though evidence remains limited.
Potential benefits of thoracoscopic approach include earlier recovery, reduced pain, and improved cosmetic outcomes.
Long-term musculoskeletal outcomes should be considered when selecting surgical approach for esophageal atresia.
Systematic review evidence is needed to guide surgical decision-making between thoracoscopic and open repair techniques.

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