Abstract
Abstract Introduction: Recurrent fistulization after tracheoesophageal fistula (TEF) repair can be a complication of difficult management. There are few data on thoracoscopic reintervention.1,2 The authors present a video of a thoracoscopic approach in a recurrent fistula after TEF repair by thoracotomy. Material and Methods: A child with 20 months of life was found with a recurrent fistula by bronchoscopy. The patient had a history of recurrent respiratory symptoms after a surgical correction of esophageal atresia with TEF by thoracotomy. A right-sided thoracotomy was performed; three trocars were used (two 5 mm and one 3 mm). Right upper lobe adhesions from a previous surgery were divided with electrocautery. The azygos vein was identified and preserved. The TEF was identified just above the azygos vein, dissected, and isolated; two titanium clips were applied and the fistula was then divided. The clips were reinforced with endoloops®. A prolene® mesh was interposed between the trachea and the esophagus...
Published Version
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