Thoracoscopic recurrent tracheo-oesophageal fistula repair with mini endostapler: promising solution

What is it about?

Recurrent tracheoesophageal fistula is a common complication in children who underwent esophageal atresia repair. The traditional surgical approach performed either by thoracotomy or cervicotomy is associated with a high rate of morbidity, mortality and new recurrence. In the last decades, endoscopic techniques have emerged as the minimally invasive alternative. However, it seems that the optimal treatment is still unknown. We present a patient with a recurrent tracheoesophageal fistula who underwent thoracoscopic closure using a 5.8 mm endostapler. The patient was extubated at the end of the procedure and he started feeding the day after surgery. At 15 months of follow-up, he is asymptomatic. Thoracoscopic closure of TEF using endostaplers seems to be a safe alternative with some possible benefits compared with traditional and endoscopic approach.

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