{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:42:55Z","timestamp":1787503375286,"version":"build-2736575974"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Background\u2003Thoracoscopic repair of esophageal atresia (EA) with tracheoesophageal fistula (TEF) is becoming an increasingly widespread technique; there is still controversy about its indication in certain patients. Our objective is to analyze if potential risk factors such as major congenital heart disease (CHD) or low birth weight (LBW) are a limitation to this approach.<\/jats:p>\n                  <jats:p>Methods\u2003Retrospective study (2017\u20132021) of patients with EA and distal TEF who underwent thoracoscopic repair were included. Patients with LBW less than 2,000\u2009g or major CHD were compared with the rest.<\/jats:p>\n                  <jats:p>Results\u2003Twenty-five patients underwent thoracoscopic surgery. Nine patients (36%) had major CHD. Five of them (20%) were LBW less than 2,000\u2009g, and only 8% (2\/25) presented both risk factors. There were no differences in terms of operative time, conversion rate, tolerance evaluated with gasometric parameters (pO2, pCO2, pH) or complications (anastomotic leak and stricture, both early or during follow-up) in patients with major CHD and LBW (1,473\u2009\u00b1\u2009319 vs. 2,664\u2009\u00b1\u2009402\u2009g). One conversion to thoracotomy was performed in a neonate weighing 1,050\u2009g due to anesthetic intolerance. There was no recurrence of TEF. One patient died at the age of 9 months, due to major uncorrectable heart disease.<\/jats:p>\n                  <jats:p>Conclusion\u2003Thoracoscopic repair of EA\/TEF is feasible technique in patients with CHD or LBW, with similar results to other patients. The complexity of this technique warrants individualizing the indication in each case.<\/jats:p>\n                  <jats:p>Level of Evidence\u2003IV.<\/jats:p>","DOI":"10.1055\/a-2072-9754","type":"journal-article","created":{"date-parts":[[2023,4,13]],"date-time":"2023-04-13T19:21:51Z","timestamp":1681413711000},"page":"301-305","source":"Crossref","is-referenced-by-count":6,"title":["Are Low Weight or Cardiopathy Contraindications for Thoracoscopic Repair of Esophageal Atresia with Tracheoesophageal Fistula?"],"prefix":"10.1055","volume":"34","author":[{"given":"Carlos","family":"Cadaval","sequence":"additional","affiliation":[{"name":"Neonatal Surgery Unit, Department of Pediatric Surgery and Urology, Universitat Aut\u00f3noma de Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5360-1684","authenticated-orcid":false,"given":"Jos\u00e9 Andr\u00e9s","family":"Molino","sequence":"additional","affiliation":[{"name":"Neonatal Surgery Unit, Department of Pediatric Surgery and Urology, Universitat Aut\u00f3noma de Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela","family":"Guill\u00e9n","sequence":"additional","affiliation":[{"name":"Neonatal Surgery Unit, Department of Pediatric Surgery and Urology, Universitat Aut\u00f3noma de Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio","family":"L\u00f3pez Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Neonatal Surgery Unit, Department of Pediatric Surgery and Urology, Universitat Aut\u00f3noma de Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen L\u00f3pez","family":"Hierro","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Urology, Universitat Aut\u00f3noma de Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Martos Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Neonatal Surgery Unit, Department of Pediatric Surgery and Urology, Universitat Aut\u00f3noma de Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haider Ali","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Urology, Universitat Aut\u00f3noma de Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Vilardell","sequence":"additional","affiliation":[{"name":"Division of Pediatric Anestethesiology, Universitat Aut\u00f3noma de Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Andreu","sequence":"additional","affiliation":[{"name":"Division of Pediatric Anestethesiology, Universitat Aut\u00f3noma de Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9sar W.","family":"Ruiz","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Universitat Aut\u00f3noma de Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"L\u00f3pez","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Urology, Universitat Aut\u00f3noma de Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,5,19]]},"reference":[{"issue":"10","key":"ref1","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1007\/s00383-014-3586-7","article-title":"Thoracoscopic repair of esophageal atresia and tracheo-esophageal fistula in neonates: the current state of the art","volume":"30","author":"S Rothenberg","year":"2014","journal-title":"Pediatr Surg 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