{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T10:36:20Z","timestamp":1771929380297,"version":"3.50.1"},"reference-count":13,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2022,3,10]],"date-time":"2022-03-10T00:00:00Z","timestamp":1646870400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Innovation Committee at Federal Joint Committee (G-BA)","award":["01NVF18031"],"award-info":[{"award-number":["01NVF18031"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Minimally invasive esophageal atresia (EA) repair is deemed one of the most demanding procedures in pediatric surgery. Open repair is considered the gold standard and learning opportunities for minimally invasive repairs remain scarce. \u201cTelemedical Interdisciplinary Care for Patients with Esophageal Atresia (TIC-PEA)\u201d offers free access to an interdisciplinary network of experts for telemedical consultation (telementoring). The aim of this study was to determine the frequency of minimally invasive surgery (MIS) in TIC-PEA patients compared to the general population. TIC-PEA patients were matched and compared to controls regarding the use of MIS, patient characteristics, and complications. Patients (n = 31) were included at a mean age of 62.8 days (95%-CI: 41.4\u201384.3, 77% after the primary esophageal repair). The odds-ratio to have MIS was 4.03 (95%-confidence interval: 0.79\u201320.55) for esophageal anastomosis and 4.60 (95%-confidence interval: 0.87\u201324.22) for tracheoesophageal fistula-repair in the TIC-PEA group. Telementoring offered the chance to select the ideal candidate for MIS, plan the procedure, and review intraoperative images and videos with the expert. Telementoring as offered is ideal to promote MIS for EA and helps to address the individual learning curve. In order to maximize benefits, patients need to be included prior to the first esophageal procedure.<\/jats:p>","DOI":"10.3390\/children9030387","type":"journal-article","created":{"date-parts":[[2022,3,10]],"date-time":"2022-03-10T11:46:47Z","timestamp":1646912807000},"page":"387","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Telementoring in Minimally Invasive Esophageal Atresia Repair: Results of a Case-Control Study and Lessons Learned from the TIC-PEA Study (Telemedical Interdisciplinary Care for Patients with Esophageal Atresia)"],"prefix":"10.3390","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6994-8252","authenticated-orcid":false,"given":"Tatjana Tamara","family":"K\u00f6nig","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Universit\u00e4tsmedizin, Johannes-Gutenberg University, 55131 Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6820-522X","authenticated-orcid":false,"given":"Maria-Christina","family":"Stefanescu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Universit\u00e4tsmedizin, Johannes-Gutenberg University, 55131 Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3473-0752","authenticated-orcid":false,"given":"Emilio","family":"Gianicolo","sequence":"additional","affiliation":[{"name":"Institute of Medical Biostatisics, Epidemiology and Informatics (IMBEI), Universit\u00e4tsmedizin, Johannes-Gutenberg University, 55131 Mainz, Germany"},{"name":"Institute of Clinical Physiology, National Research Council, Campus Universitario Ecotekne, 73100 Lecce, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne-Sophie","family":"Holler","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Dr. von Haunersches Kinderspital, Ludwig Maximilian-University Munich, 80337 Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2790-4395","authenticated-orcid":false,"given":"Oliver J.","family":"Muensterer","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Dr. von Haunersches Kinderspital, Ludwig Maximilian-University Munich, 80337 Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,3,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1089\/pei.1999.3.141","article-title":"Thoracoscopic Repair of Esophageal Atresia in an Infant: A Surgical First","volume":"3","author":"Lobe","year":"1999","journal-title":"Pediatr. Endosurg. Innov. Tech."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1055\/s-0033-1350058","article-title":"International Survey on the Management of Esophageal Atresia","volume":"24","author":"Zani","year":"2013","journal-title":"Eur. J. Pediatr. Surg."},{"key":"ref_3","first-page":"326","article-title":"ERNICA Consensus Conference on the Manage-ment of Patients with Esophageal Atresia and Tracheoesophageal Fistula: Diagnostics, Preoperative, Operative, and Postop-erative Management","volume":"30","author":"Dingemann","year":"2019","journal-title":"Eur. J. Pediatr. Surg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"2172","DOI":"10.1016\/j.jpedsurg.2021.04.006","article-title":"Association of operative approach with outcomes in neonates with esophageal atresia and tracheoesophageal fistula","volume":"56","author":"Etchill","year":"2021","journal-title":"J. Pediatr. Surg."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1007\/s00383-020-04829-3","article-title":"Thoracoscopic oesophageal atre-sia\/tracheo-oesophageal fistula (OA\/TOF) repair is associated with a higher stricture rate: A single institution\u2019s experience","volume":"37","author":"Thakkar","year":"2021","journal-title":"Pediatr. Surg. Int."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1055\/s-0040-1703011","article-title":"Minimally Invasive Pediatric Surgery: The Learning Curve","volume":"30","author":"Uecker","year":"2020","journal-title":"Eur. J. Pediatr. Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3389\/fped.2021.630518","article-title":"Mentoring in Pediatric Thoracoscopy: From Theory to Practice","volume":"9","author":"Macchini","year":"2021","journal-title":"Front. 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Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1007\/BF00188353","article-title":"Telementoring of laparoscopic procedures: Initial clinical expe-rience","volume":"10","author":"Moore","year":"1996","journal-title":"Surg. Endosc."},{"key":"ref_12","first-page":"1","article-title":"Digitalisation and COVID-19: The Perfect Storm","volume":"5","author":"Horgan","year":"2020","journal-title":"Biomed. Hub."},{"key":"ref_13","first-page":"601","article-title":"An Analysis of the Care Structure for Congenital Malformations in Germany","volume":"118","author":"Elrod","year":"2021","journal-title":"Dtsch. \u00c4rzteblatt Int."}],"container-title":["Children"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9067\/9\/3\/387\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:34:09Z","timestamp":1760135649000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9067\/9\/3\/387"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,10]]},"references-count":13,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,3]]}},"alternative-id":["children9030387"],"URL":"https:\/\/doi.org\/10.3390\/children9030387","relation":{},"ISSN":["2227-9067"],"issn-type":[{"value":"2227-9067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,10]]}}}