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Among the analyzed parameters were the patients\u2019 characteristics, surgical treatment and post-operative complications: early mortality, anastomosis leakage, anastomosis strictures, chylothorax, TEF recurrence, and the need for fundoplication or gastrostomy.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>145 consecutive newborns underwent thoracoscopic EA with TEF repair. They were divided into three groups\u2014A (<jats:italic>N<\/jats:italic>\u2009=\u200912 with a birth weight\u2009&lt;\u20091500\u00a0g), B (<jats:italic>N<\/jats:italic>\u2009=\u200923 with a birth weight\u2009\u2265\u20091500\u00a0g but\u2009&lt;\u20092000\u00a0g), and C\u2014control group (<jats:italic>N<\/jats:italic>\u2009=\u2009110 with a birth weight\u2009\u2265\u20092000\u00a0g). Primary one-stage anastomosis was performed in 11\/12 (91.7%) patients\u2014group A, 19\/23 (82.6%)\u2014group B and 110 (100%)\u2014group C. Early mortality was 3\/12 (25%)\u2014group A, 2\/23 (8.7%)\u2014group B, and 2\/110 (1.8%)\u2014group C and was not directly related to the surgical repair. There were no significant differences in operative time and the following complications: anastomotic leakage, recurrent TEF, esophageal strictures, and chylothorax. There were no conversions to an open surgery. Fundoplication was required in 0%\u2014group A, 4\/21 (19.0%)\u2014group B, and 2\/108 (1.9%)\u2014group C survivors. Gastrostomy was performed in 1\/9 (11.1%)\u2014group A, 3\/21 (14.3%)\u2014group B and 0%\u2014group C.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>In an experienced surgeon\u2019s hands, even in the smallest newborns, the thoracoscopic approach may be safe, feasible, and worthy of consideration. Birth weight seems to be not a direct contraindication to the thoracoscopic approach.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00464-024-11063-8","type":"journal-article","created":{"date-parts":[[2024,7,17]],"date-time":"2024-07-17T17:02:01Z","timestamp":1721235721000},"page":"5076-5085","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Birth weight and thoracoscopic approach for patients with esophageal atresia and tracheoesophageal fistula\u2014a retrospective cohort study"],"prefix":"10.1007","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4880-8047","authenticated-orcid":false,"given":"Dominika","family":"Borselle","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7641-796X","authenticated-orcid":false,"given":"Sylwester","family":"Gerus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3747-1215","authenticated-orcid":false,"given":"Monika","family":"Bukowska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4583-5517","authenticated-orcid":false,"given":"Dariusz","family":"Patkowski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,7,17]]},"reference":[{"issue":"4","key":"11063_CR1","doi-asserted-by":"publisher","first-page":"326","DOI":"10.1055\/s-0039-1693116","volume":"30","author":"C Dingemann","year":"2020","unstructured":"Dingemann C, Eaton S, Aksnes G et al (2020) ERNICA consensus conference on the management of patients with esophageal atresia and tracheoesophageal fistula: diagnostics, preoperative, operative, and post-operative management. 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