Primary repair of esophageal atresia gross type C via thoracoscopic magnetic compression anastomosis: A case report

• Published in: World journal of gastrointestinal surgery 2023-12, Vol.15 (12), p.2919-2925
• Main Authors: Zhang, Hong-Ke, Li, Xiao-Quan, Song, Hong-Xia, Liu, Shi-Qi, Wang, Fang-Hui, Wen, Jian, Xiao, Mi, Yang, A-Ping, Duan, Xu-Feng, Gao, Zhen-Zhen, Hu, Kai-Lun, Zhang, Wei, Lv, Yi, Zhou, Xi-Hui, Cao, Zhen-Jie
• Format: Article
• Language: English
• ISSN: 1948-9366; 1948-9366
• DOI: 10.4240/wjgs.v15.i12.2919

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. 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 15 day postoperatively, and the magnets were removed on the 23 day. No leakage existed when the transoral feeding started. Thoracoscopic magnetic compression anastomosis may be a promising minimally invasive approach for repairing EA.