{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T23:29:17Z","timestamp":1786663757947,"version":"build-2736575974"},"reference-count":26,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T00:00:00Z","timestamp":1779580800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Aim of the Study:<\/jats:title>\n                    <jats:p>Thoracoscopic repair of esophageal atresia (EA) with distal tracheoesophageal fistula (TEF) is an increasingly adopted approach. However, it is a complex minimally invasive technique that should be performed by experienced surgeons under optimal conditions. This study aims to determine whether delaying surgery to ensure these conditions is safe.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a retrospective observational study (2017 to 2024) analyzing historical cohorts of 41 neonates with EA and distal TEF who underwent thoracoscopic repair. Fifteen (36.5%) were operated on the first day of life (Group A), while 26 (63.5%) underwent delayed surgery (Group B). Baseline characteristics, preoperative and intraoperative morbidity and mortality, and follow-up outcomes were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There were no significant differences in sex, gestational age, birth weight, or associated anomalies, including anorectal malformation. Group B neonates underwent surgery at 2.38 \u00b1 0.76 days of life. No preoperative respiratory infections or need for emergency surgery were reported, and there were no significant differences in atelectasis (6.6% versus 11%), respiratory distress (40% versus 34%), or intubation requirement (13% versus 19%). Intraoperatively, conversion rates (6.6% versus 7.6%) and desaturation events (20% versus 19%) were comparable. Postoperatively, no differences were found in intubation days (3.3 versus 3.37), infections (6.6% versus 11.5%), atelectasis (13.3% versus 19.2%), or follow-up complications (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; .05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Delaying the repair of EA with distal TEF is safe, allowing thoracoscopic surgery to be performed by experienced surgeons under optimal conditions without increasing morbidity due to the wait.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10926429261450540","type":"journal-article","created":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T01:52:30Z","timestamp":1779673950000},"page":"760-764","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Thoracoscopic Repair of Esophageal Atresia with Distal Tracheoesophageal Fistula: Is It Safe to Delay Surgery?"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-8198-9202","authenticated-orcid":false,"given":"Ignacio","family":"Ibarra Rodr\u00edguez","sequence":"first","affiliation":[{"name":"Neonatal Surgery Unit, Pediatric Surgery Department, Universitat Aut\u00f3noma de Barcelona, Vall d\u2019Hebron Hospital Campus, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Andr\u00e9s","family":"Molino Gahete","sequence":"additional","affiliation":[{"name":"Neonatal Surgery Unit, Pediatric Surgery Department, Universitat Aut\u00f3noma de Barcelona, Vall d\u2019Hebron Hospital Campus, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio","family":"L\u00f3pez Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Neonatal Surgery Unit, Pediatric Surgery Department, Universitat Aut\u00f3noma de Barcelona, Vall d\u2019Hebron Hospital Campus, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Martos Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Neonatal Surgery Unit, Pediatric Surgery Department, Universitat Aut\u00f3noma de Barcelona, Vall d\u2019Hebron Hospital Campus, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haider Ali","family":"Khan","sequence":"additional","affiliation":[{"name":"Neonatal Surgery Unit, Pediatric Surgery Department, Universitat Aut\u00f3noma de Barcelona, Vall d\u2019Hebron Hospital Campus, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9sar Wenceslao","family":"Ruiz","sequence":"additional","affiliation":[{"name":"Departament of Neonatology, Universitat Aut\u00f3noma de Barcelona, Vall d\u2019Hebron Hospital Campus, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karla","family":"Estefania","sequence":"additional","affiliation":[{"name":"Neonatal Surgery Unit, Pediatric Surgery Department, Universitat Aut\u00f3noma de Barcelona, Vall d\u2019Hebron Hospital Campus, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Vilardell","sequence":"additional","affiliation":[{"name":"Division of Pediatric Anestethesiology, Universitat Aut\u00f3noma de Barcelona, Vall d\u2019Hebron Hospital Campus, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen","family":"Ribes","sequence":"additional","affiliation":[{"name":"Departament of Neonatology, Universitat Aut\u00f3noma de Barcelona, Vall d\u2019Hebron Hospital Campus, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5632-2672","authenticated-orcid":false,"given":"Gabriela","family":"Guill\u00e9n","sequence":"additional","affiliation":[{"name":"Neonatal Surgery Unit, Pediatric Surgery Department, Universitat Aut\u00f3noma de Barcelona, Vall d\u2019Hebron Hospital Campus, Barcelona, 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