Comparison of robotic versus thoracoscopic repair for congenital esophageal atresia: a propensity score matching analysis
Topic overview
Multicenter study comparing robotic versus thoracoscopic repair in 155 neonates with esophageal atresia shows robotic approach significantly reduces anastomotic leakage (4.76% vs 19.05%) and stricture rates despite longer operative time. Robotic repair allows delayed surgery without increased respiratory complications and reduces unplanned readmissions.
Key takeaways
- Robotic repair for esophageal atresia reduces anastomotic leakage (4.76% vs 19.05%) and stricture rates (15.87% vs 31.74%) compared to thoracoscopy
- Robotic approach allows delayed surgery (median 8 vs 3 days) without increasing pneumonia risk, potentially benefiting patient stabilization
- Anastomotic time is significantly shorter with robotic repair (29.5 vs 40.2 min) despite longer total operative time
- Unplanned readmission within 2 years is nearly halved with robotic repair (32% vs 60%), suggesting better long-term outcomes
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