WOFAPS 2025 8th World Congress of Pediatric Surgery

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Poster - 106

Thoracoscopic Repair of Esophageal Atresia: Surgical Challenges in Long Gap and Overlapping Pouch Variants

Hany Embaby
Ahmed Maher Teaching hospital GOTHI Ministry of Health Egypt

Title:

Thoracoscopic Repair of Esophageal Atresia: Surgical Challenges in Long Gap and Overlapping Pouch Variants

Abstract:

Thoracoscopic repair of esophageal atresia (EA) has become the preferred approach in many centers, yet it presents distinct challenges based on anatomical variation. This video presentation explores two major technical obstacles encountered during thoracoscopic EA surgery: long-gap atresia and overlapping pouches. In long-gap cases, the distance between the proximal and distal esophagus limits tension-free anastomosis, requiring intraoperative adaptations such as mobilization techniques or staged strategies. Conversely, overlapping pouches may give a false impression of continuity, risking misidentification or misalignment. We discuss key considerations in choosing the surgical approach, optimizing visualization, and ensuring precise anastomosis. Through real-case footage, the video highlights decision-making steps, pitfalls, and technical pearls to enhance the safety and success of thoracoscopic EA repair.

Keywords: Keywords: Esophageal atresia, thoracoscopic repair, long-gap, overlapping pouches, pediatric surgery, minimally invasive surgery.

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