{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T01:02:55Z","timestamp":1784941375632,"version":"3.55.0"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"vor","delay-in-days":204,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["European J Pediatr Surg Rep."],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Congenital esophageal stenosis is a rare and heterogenous malformation often associated with esophageal atresia (EA). Failure of conservative endoscopic treatment leads to surgery. Transthoracic approach is rarely advocated due to the peridiaphragmatic localization of the stricture. Robotic-assisted thoracoscopic surgery (RATS) may offer enhanced precision in confined spaces; its application in patients under 10\u2009kg is still considered a challenge. We report the first description of RATS resection of cartilaginous congenital stenosis and esophagoesophagostomy in a 9.5\u2009kg patient. A female patient with a history of EA type III was corrected via videothoracoscopy, two cardiac surgeries via sternotomy, and laparoscopic treatment of duodenal atresia. During weaning, she did not tolerate thickened food, and endoscopy revealed a patent anastomosis but a distal esophageal stricture. A course of pneumatic dilation was attempted. Persistent clinical and radiological findings indicated the need for surgery. At 15 months, the patient underwent three-trocar thoracoscopy with the da Vinci Xi system. Esophagoscopy helped the identification of the stricture. A longitudinal incision exposed a 2-cm segment of thickened esophageal wall requiring complete excision. A tension-free end-to-end anastomosis was performed using 4\/0 PDS. Tracheobronchial remnants were confirmed at histopathologIcal finding. Esophageal contrastography demonstrated a good diameter anastomosis. One month after the operation, she was able to swallow solid food. Surgery for congenital stenosis is indicated when endoscopic management fails. RATS for esophageal diseases in patients under 10\u2009kg is feasible, and peridiahragmatic esophagus particularly suits to this technique. Previous accesses to the thorax seems not to be a limitation.<\/jats:p>","DOI":"10.1055\/a-2905-8655","type":"journal-article","created":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T00:50:03Z","timestamp":1784940603000},"page":"e34-e37","source":"Crossref","is-referenced-by-count":0,"title":["Robotic-Assisted Thoracoscopic Circumferential Resection of Congenital Esophageal Stenosis in Under 10 kg Patient"],"prefix":"10.1055","volume":"14","author":[{"given":"Francesco","family":"Fascetti-Leon","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli Studi di Padova, Veneto, Italy","place":["Padova"],"department":["Department of Women and Children Health, Division of Pediatric Surgery"]},{"name":"Padova University Hospital, Italy","place":["Padova"],"department":["Pediatric Surgery Unit, Division of Women's and Children's Health"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federica","family":"Varner","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli Studi di Padova, Veneto, Italy","place":["Padova"],"department":["Department of Women and Children Health, Division of Pediatric Surgery"]},{"name":"Padova University Hospital, Italy","place":["Padova"],"department":["Pediatric Surgery Unit, Division of Women's and Children's Health"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federica","family":"De Corti","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli Studi di Padova, Veneto, Italy","place":["Padova"],"department":["Department of Women and Children Health, Division of Pediatric Surgery"]},{"name":"Padova University Hospital, Italy","place":["Padova"],"department":["Pediatric Surgery Unit, Division of Women's and Children's Health"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca Maria","family":"Antoniello","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli Studi di Padova, Veneto, Italy","place":["Padova"],"department":["Department of Women and Children Health, Division of Pediatric Surgery"]},{"name":"Padova University Hospital, Italy","place":["Padova"],"department":["Pediatric Surgery Unit, Division of Women's and Children's Health"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luisa","family":"Meneghini","sequence":"additional","affiliation":[{"name":"University of Padua, Veneto, Italy","place":["Padova"],"department":["Department of Women's and Children's Health, Anesthesiology Pediatric Unit"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alvise","family":"Guariento","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli Studi di Padova, Italy","place":["Padova"],"department":["Division of Cardiovascular Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1382-3527","authenticated-orcid":false,"given":"Miriam","family":"Duci","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli Studi di Padova, Veneto, Italy","place":["Padova"],"department":["Department of Women and Children Health, Division of Pediatric Surgery"]},{"name":"Padova University Hospital, Italy","place":["Padova"],"department":["Pediatric Surgery Unit, Division of Women's and Children's Health"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,7,24]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1007\/s00383-007-1927-5","article-title":"Congenital esophageal stenosis associated with esophageal atresia: new concepts","volume":"23","author":"A HM Ibrahim","year":"2007","journal-title":"Pediatr Surg Int"},{"issue":"04","key":"ref2","first-page":"535","article-title":"Congenital esophageal stenosis: a rare malformation of the foregut","volume":"81","author":"V Brza\u010dki","year":"2019","journal-title":"Nagoya J Med Sci"},{"issue":"10","key":"ref3","doi-asserted-by":"crossref","first-page":"1035","DOI":"10.1007\/s00383-017-4133-0","article-title":"Current characteristics and management of congenital esophageal stenosis: 40 consecutive cases from a multicenter study in the Kyushu area of Japan","volume":"33","author":"M Suzuhigashi","year":"2017","journal-title":"Pediatr Surg Int"},{"issue":"10","key":"ref4","doi-asserted-by":"crossref","first-page":"3000605221132704","DOI":"10.1177\/03000605221132704","article-title":"Congenital esophageal stenosis caused by tracheobronchial remnants: a case report","volume":"50","author":"Z Gao","year":"2022","journal-title":"J Int Med Res"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1007\/s00383-024-05652-w","article-title":"Balloon dilatation for congenital esophageal stenosis associated with esophageal atresia","volume":"40","author":"K Deguchi","year":"2024","journal-title":"Pediatr Surg Int"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"183","DOI":"10.4253\/wjge.v7.i3.183","article-title":"Endoscopic management for congenital esophageal stenosis: a systematic review","volume":"7","author":"K Terui","year":"2015","journal-title":"World J Gastrointest Endosc"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1111\/ases.12371","article-title":"Thoracoscopic resection of congenital esophageal stenosis","volume":"10","author":"R Saka","year":"2017","journal-title":"Asian J Endosc Surg"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1053\/jpsu.2003.50123","article-title":"Clinical characteristics and management of congenital esophageal stenosis: a report on 14 cases","volume":"38","author":"S Amae","year":"2003","journal-title":"J Pediatr Surg"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1055\/s-0040-1721770","article-title":"The potential and the limitations of esophageal robotic surgery in children","volume":"32","author":"P A Ferrero","year":"2022","journal-title":"Eur J Pediatr Surg"},{"issue":"02","key":"ref10","doi-asserted-by":"crossref","first-page":"75","DOI":"10.4274\/jpr.galenos.2024.37801","article-title":"Examining the potential of advanced robotic-assisted thoracic surgery in pediatric cases","volume":"11","author":"\u00dc \u00c7eltik","year":"2024","journal-title":"J Pediatr Res"}],"container-title":["European Journal of Pediatric Surgery Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2905-8655.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T00:50:04Z","timestamp":1784940604000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2905-8655"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":10,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2026,1,24]]},"published-print":{"date-parts":[[2026,1]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2905-8655","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2194-7619","2194-7627"],"issn-type":[{"value":"2194-7619","type":"print"},{"value":"2194-7627","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}