QUAD #10 Pt.2: Surgical Technique for Thoracoscopic Repair of Tracheoesophageal Fistula (TEF) with Dr. Steve Rothenberg

Topic overview

In this video we’ll talk about minimally invasive thoracoscopic tracheoesophageal fistula (TEF) repair with Dr. Steve Rothenberg from Rocky Mountain Hospital for Children. This video covers:

• Anesthesia: Using CO2 to collapse the lung instead of single lung ventilation.

• Patient Positioning: Prone and tilted at 60 degrees for better access.

• Surgical Technique: Detailed steps from trocar placement to anastomosis, including tips for mobilizing the upper pouch and managing the fistula.

• Visualization: Improved view compared to open surgery, especially for complex cases.

• Post-Operative Care: Managing chest drains, preventing hiatal hernias, and suture techniques to avoid strictures.

• Cosmetic Outcomes: Minimal scarring and reduced risk of chest wall deformities.

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