Abstract
Introduction:
Thoracoscopy has been well established for resections of lung lesions, foregut duplication cysts, and tumors, as well as for repair of esophageal atresia anomalies. This approach, however, has not been frequently reported in newborn infants with unusual anatomic variants of these anomalies.
Materials and Methods:
We present a case of a 3250 g infant born with fevers and tachypnea, found to be secondary to refractory right upper lobe collapse. A contrast enhanced CT scan showed direct communication between the right upper lobe and the esophagus. An esophagram confirmed communication between the esophagus and the right upper lobe. Thoracoscopic right upper lobectomy was performed. Division of the fistulous connection was performed using a 5 mm linear cutting stapler.
Results and Conclusions:
A postoperative esophagram showed no contrast extravasation and a rapidly emptying esophagus. The patient was discharged the next day on full feeds. Pathology analysis was consistent with an esophageal lobe. Thoracoscopic management of rare congenital variants is feasible. 1 –3
No competing financial interests exist.
Runtime of video: 4 mins 17 secs
Abstract presented at the International Pediatric Endosurgery Group conference, March 22, 2019, Santiago, Chile.
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