{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T18:40:03Z","timestamp":1790620803783,"version":"4.1.0"},"reference-count":21,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,12,22]],"date-time":"2022-12-22T00:00:00Z","timestamp":1671667200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Explore the feasibility and safety of thoracoscopy in the treatment of esophageal atresia under high-frequency oscillatory ventilation (HFOV) mode.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a single-center retrospective analysis. A total of 24 children were divided into the HFOV and the No-HFOV group. The demographic information, surgical results and relevant experience were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All patients in the HFOV group underwent thoracoscopic esophageal atreplasty with a mean operation duration of 165.8\u2009\u00b1\u200933.9\u2005min. Two patients had postoperative anastomotic leakage, which was cured after conservative treatment. One child had a recurrent tracheoesophageal fistula, which was closed after endoscopic cauterization. The mean postoperative mechanical ventilation time was 8.83\u2009\u00b1\u20098.02 days. There was no return of anastomotic leakage or r-TEF after oral feeding. Furthermore, there was no significant difference between the NO-HFOV and the HFOV groups except for the operation time where the HFOV group was shorter than that of the NO-HFOV group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Thoracoscopic esophageal atresia anastomosis under HFOV ventilation is feasible for patients with severe pulmonary infection, heart malformation, such as patent ductus arteriosus, ventricular septal defect, and poor anesthesia tolerance, but the long-term prognosis still needs further study in a large sample size.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fped.2022.1066492","type":"journal-article","created":{"date-parts":[[2022,12,22]],"date-time":"2022-12-22T05:18:16Z","timestamp":1671686296000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Exploration of the thoracoscopic treatment of esophageal atresia under high-frequency ventilation"],"prefix":"10.3389","volume":"10","author":[{"given":"Chao","family":"Zheng","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuanbin","family":"He","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong","family":"Shen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiansen","family":"Fan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yifan","family":"Fang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,12,22]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1002\/dvdy.24219","article-title":"One shall become two: separation of the esophagus and trachea from the common foregut tube","volume":"244","author":"Billmyre","year":"2015","journal-title":"Dev Dyn"},{"key":"B2","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1007\/s005950170197","article-title":"Analysis of the development of Normal foregut and tracheoesophageal fistula in an Adriamycin rat model using three-dimensional image reconstruction","volume":"31","author":"Sasaki","year":"2001","journal-title":"Surg Today"},{"key":"B3","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1038\/s41572-019-0083-2","article-title":"Oesophageal atresia","volume":"5","year":"2019","journal-title":"Nat Rev Dis Primers"},{"key":"B4","doi-asserted-by":"publisher","first-page":"945","DOI":"10.1097\/SLA.0000000000004239","article-title":"Thoracoscopy or thoracotomy for esophageal atresia: a systematic review and meta-analysis","volume":"274","author":"Drevin","year":"2021","journal-title":"Ann Surg"},{"key":"B5","doi-asserted-by":"publisher","first-page":"2082","DOI":"10.1016\/S0140-6736(10)60278-4","article-title":"PreVILIG collaboration. Elective high-frequency oscillatory versus conventional ventilation in preterm infants: a systematic review and meta-analysis of individual patients\u2019 data","volume":"375","author":"Cools","year":"2010","journal-title":"Lancet"},{"key":"B6","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1001\/jamapediatrics.2013.4463","article-title":"Comparison of high-frequency oscillatory ventilation and conventional mechanical ventilation in pediatric respiratory failure","volume":"168","author":"Gupta","year":"2014","journal-title":"JAMA Pediatr"},{"key":"B7","doi-asserted-by":"publisher","first-page":"2621","DOI":"10.1002\/ppul.25447","article-title":"Application of high-frequency oscillation ventilation combined with volume guarantee in infants with acute hypoxic respiratory failure after congenital heart surgery","volume":"56","author":"Zheng","year":"2021","journal-title":"Pediatr Pulmonol"},{"key":"B8","doi-asserted-by":"publisher","first-page":"1097","DOI":"10.1007\/s00383-017-4143-y","article-title":"Intraoperative ventilation during thoracoscopic repair of neonatal congenital diaphragmatic hernia","volume":"33","author":"Okazaki","year":"2017","journal-title":"Pediatr Surg Int"},{"key":"B9","doi-asserted-by":"publisher","first-page":"3899","DOI":"10.1007\/s00431-022-04590-w","article-title":"High-frequency oscillatory ventilation versus conventional ventilation in the respiratory management of term neonates with a congenital diaphragmatic hernia: a retrospective cohort study","volume":"181","author":"Semama","year":"2022","journal-title":"Eur J Pediatr"},{"key":"B10","doi-asserted-by":"publisher","first-page":"e2020049778","DOI":"10.1542\/peds.2020-049778","article-title":"Esophageal atresia and respiratory morbidity","volume":"148","author":"Lejeune","year":"2021","journal-title":"Pediatrics"},{"key":"B11","doi-asserted-by":"publisher","first-page":"106376","DOI":"10.1016\/j.rmed.2021.106376","article-title":"Evaluation of pulmonary complications and affecting factors in children for repaired esophageal atresia and tracheoesophageal fistula","volume":"181","author":"Tu\u011fcu","year":"2021","journal-title":"Respir Med"},{"key":"B12","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1055\/a-1149-9483","article-title":"Behandlung der \u00d6sophagusatresie mit unterer tracheo\u00f6sophagealer fistel \u2013 zusammenfassung der aktuellen S2K-leitlinie der DGKCH [current treatment of esophageal atresia with tracheoesophageal Fistula - updated guidelines of the German society of pediatric surgery]","volume":"232","author":"Mayer","year":"2020","journal-title":"Klin Padiatr"},{"key":"B13","doi-asserted-by":"publisher","first-page":"560","DOI":"10.1186\/s12887-021-03042-y","article-title":"The clinical effects of high-frequency oscillatory ventilation in the treatment of neonatal severe meconium aspiration syndrome complicated with severe acute respiratory distress syndrome","volume":"21","author":"Yang","year":"2021","journal-title":"BMC Pediatr"},{"key":"B14","first-page":"46","article-title":"Uso intraoperatorio de ventilaci\u00f3n de alta frecuencia oscilatoria en dos casos pedi\u00e1tricos de cirug\u00eda pulmonar [intraoperative high frequency oscillatory ventilation in 2 children undergoing lung surgery]","volume":"53","author":"Donoso","year":"2006","journal-title":"Rev Esp Anestesiol Reanim"},{"key":"B15","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1159\/000353376","article-title":"High-frequency oscillatory ventilation with low oscillatory frequency in pulmonary interstitial emphysema","volume":"104","author":"Squires","year":"2013","journal-title":"Neonatology"},{"key":"B16","doi-asserted-by":"publisher","first-page":"e2020029884","DOI":"10.1542\/peds.2020-029884","article-title":"Survival trends and syndromic esophageal atresia","volume":"147","author":"Tanny SP","year":"2021","journal-title":"Pediatrics"},{"key":"B17","doi-asserted-by":"publisher","first-page":"773","DOI":"10.1038\/s41390-019-0631-1","article-title":"Cervical ribs and other abnormalities of the vertebral pattern in children with esophageal atresia and anorectal malformations","volume":"87","author":"Schut","year":"2020","journal-title":"Pediatr Res"},{"key":"B18","doi-asserted-by":"publisher","first-page":"3000","DOI":"10.1002\/ppul.26124","article-title":"Rodr\u00edguez s\u00e1nchez De la blanca A, s\u00e1nchez-luna M. Lung recruitment in neonatal high-frequency oscillatory ventilation with volume-guarantee","volume":"57","author":"Solis-Garcia","year":"2022","journal-title":"Pediatr Pulmonol"},{"key":"B19","doi-asserted-by":"publisher","first-page":"813478","DOI":"10.3389\/fphys.2022.813478","article-title":"The physiological basis of high-frequency oscillatory ventilation and current evidence in adults and children: a narrative review","volume":"13","author":"Miller","year":"2022","journal-title":"Front Physiol"},{"key":"B20","doi-asserted-by":"publisher","first-page":"1121","DOI":"10.1056\/NEJMoa1309220","article-title":"Late outcomes of a randomized trial of high-frequency oscillation in neonates","volume":"370","author":"Zivanovic","year":"2014","journal-title":"N Engl J Med"},{"key":"B21","doi-asserted-by":"publisher","first-page":"495","DOI":"10.1164\/rccm.201507-1381OC","article-title":"Restore study investigators. Early high-frequency oscillatory ventilation in pediatric acute respiratory failure. A propensity score analysis","volume":"193","author":"Bateman","year":"2016","journal-title":"Am J Respir Crit Care Med"}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2022.1066492\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,22]],"date-time":"2022-12-22T05:18:19Z","timestamp":1671686299000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2022.1066492\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,22]]},"references-count":21,"alternative-id":["10.3389\/fped.2022.1066492"],"URL":"https:\/\/doi.org\/10.3389\/fped.2022.1066492","relation":{},"ISSN":["2296-2360"],"issn-type":[{"value":"2296-2360","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,22]]},"article-number":"1066492"}}