Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Dec 27, 2023; 15(12): 2919-2925
Published online Dec 27, 2023. doi: 10.4240/wjgs.v15.i12.2919
Primary repair of esophageal atresia Gross type C via thoracoscopic magnetic compression anastomosis: A case report
Hong-Ke Zhang, Xiao-Quan Li, Hong-Xia Song, Shi-Qi Liu, Fang-Hui Wang, Jian Wen, Mi Xiao, A-Ping Yang, Xu-Feng Duan, Zhen-Zhen Gao, Kai-Lun Hu, Wei Zhang, Yi Lv, Xi-Hui Zhou, Zhen-Jie Cao
Hong-Ke Zhang, A-Ping Yang, Zhen-Zhen Gao, Kai-Lun Hu, Zhen-Jie Cao, Department of Pediatric Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, Shannxi Province, China
Xiao-Quan Li, Hong-Xia Song, Fang-Hui Wang, Mi Xiao, Xu-Feng Duan, Wei Zhang, Xi-Hui Zhou, Department of Neonatology, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, Shannxi Province, China
Shi-Qi Liu, Department of Neonatal Surgery, Xi’an Children’s Hospital, Xi’an 710003, Shannxi Province, China
Jian Wen, Department of Anesthesiology, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, Shannxi Province, China
Yi Lv, Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, Shannxi Province, China
Author contributions: Lv Y and Zhou XH designed the operation and revised the manuscript; Zhang HK, Cao ZJ, and Li XQ performed the operation and drafted this manuscript; Liu SQ provided the homemade magnets; Zhang HK designed the magnetic delivery system; Wen J performed the anesthesia; Song HX, Wang FH, and Xiao M assisted in the operation and contributed to the perioperative management; Yang AP, Duan XF, Gao ZZ, Hu KL, and Zhang W helped in the neonatal intensive care unit care and nursing; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors have no conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhen-Jie Cao, Doctor, MM, Surgeon, Department of Pediatric Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, No. 277 West Yanta Road, Xi’an 710061, Shannxi Province, China. caozhenjie111@sina.com
Received: July 29, 2023
Peer-review started: July 29, 2023
First decision: October 29, 2023
Revised: November 12, 2023
Accepted: December 11, 2023
Article in press: December 11, 2023
Published online: December 27, 2023
Processing time: 151 Days and 2.3 Hours
Abstract
BACKGROUND

Esophageal atresia (EA) is a life-threatening congenital malformation in newborns, and the traditional repair approaches pose technical challenges and are extremely invasive. Therefore, surgeons have been actively investigating new minimally invasive techniques to address this issue. Magnetic compression anastomosis has been reported in several studies for its potential in repairing EA. In this paper, the primary repair of EA with magnetic compression anastomosis under thoracoscopy was reported.

CASE SUMMARY

A full-term male weighing 3500 g was diagnosed with EA Gross type C. The magnetic devices used in this procedure consisted of two magnetic rings and several catheters. Tracheoesophageal fistula ligation and two purse strings were performed. The magnetic compression anastomosis was then completed thoracoscopically. After the primary repair, no additional operation was conducted. A patent anastomosis was observed on the 15th day postoperatively, and the magnets were removed on the 23rd day. No leakage existed when the transoral feeding started.

CONCLUSION

Thoracoscopic magnetic compression anastomosis may be a promising minimally invasive approach for repairing EA.

Keywords: Congenital esophageal atresia; Minimal invasive surgery; Thoracoscopic repair; Magnetic compression anastomosis; Primary repair; Case report

Core Tip: Esophageal atresia (EA) is a life-threatening congenital malformation in newborns, and the traditional surgeries pose technical challenges and are extremely invasive. Therefore, surgeons have been actively investigating new minimally invasive techniques to address this issue. In this report, we discussed the primary repair of EA with magnetic compression anastomosis under thoracoscopy. After the primary repair, no additional operation was conducted, and no leakage existed when the transoral feeding started. This case demonstrated that thoracoscopic magnetic compression anastomosis may be a promising minimally invasive approach for repairing EA.