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All patients underwent gastrostomy placement. The first thoracoscopic stage occurred at a median age 2.4 months (1.1\u20133.7). Internal traction was applied in 13\/15 (86%), two required gastric interposition (GI) for an extreme long gap diagnosed at initial thoracoscopy. Traction patients underwent a median of 2 tractions (1\u20133). Delayed anastomosis was achieved in 10\/13 (77%) within a median 11.5 days (6\u201343) from first thoracoscopy. In three, anastomosis remained unfeasible after traction due to a persistent long gap, necessitating GI. Complications included one recurrent fistula, one leak, and five strictures requiring a median 1.5 dilatations (1\u20137). At a median 50-month follow-up (12\u201391), all delayed-anastomosis patients and 60% of GI patients tolerated full oral feeds.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A delayed thoracoscopic staged internal traction enabled safe anastomosis with a low complication rate; however, one-third of patients required GI.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00383-026-06368-9","type":"journal-article","created":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T12:51:13Z","timestamp":1772628673000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Thoracoscopic staged repair for type A and type B esophageal atresia: outcomes from a tertiary center"],"prefix":"10.1007","volume":"42","author":[{"given":"Natalia","family":"Newland","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiri","family":"Snajdauf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jitka","family":"Styblova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stepan","family":"Coufal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tereza","family":"Bartosova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michal","family":"Rygl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alena","family":"Kokesova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,4]]},"reference":[{"issue":"3","key":"6368_CR1","doi-asserted-by":"publisher","first-page":"214","DOI":"10.1055\/s-0040-1713932","volume":"31","author":"C Dingemann","year":"2021","unstructured":"Dingemann C et al (2021) ERNICA consensus conference on the management of patients with long-gap esophageal atresia: perioperative, surgical, and long-term management. 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