Learning curve of thoracoscopic repair of esophageal atresia

David C. Van Der Zee*, Stefaan H.A.J. Tytgat, Sander Zwaveling, Maud Y.A. Van Herwaarden, Daisy Vieira-Travassos

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

41 Citations (Scopus)

Abstract

Background Thoracoscopic repair of esophageal atresia is considered to be one of the more advanced pediatric surgical procedures, and it undoubtedly has a learning curve. This is a single-center study that was designed to determine the learning curve of thoracoscopic repair of esophageal atresia. Methods The study involved comparison of the first and second five-year outcomes of thoracoscopic esophageal atresia repair. Results The demographics of the two groups were comparable. There was a remarkable reduction of postoperative leakage or stenosis, and recurrence of fistulae, in spite of the fact that nowadays the procedure is mainly performed by young staff members and fellows. Conclusions There is a considerable learning curve for thoracoscopic repair of esophageal atresia. Centers with the ambition to start up a program for thoracoscopic repair of esophageal atresia should do so with the guidance of experienced centers.

Original languageEnglish
Pages (from-to)2093-2097
Number of pages5
JournalWorld Journal of Surgery
Volume36
Issue number9
DOIs
Publication statusPublished - Sept 2012

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