Episode notes
In this video we’ll talk about minimally invasive thoracoscopic tracheoesophageal fistula (TEF) repair with Dr. Steve Rothenberg from Rocky Mountain Hospital for Children. This video covers:
Anesthesia: Using CO2 to collapse the lung instead of single lung ventilation.
Patient Positioning: Prone and tilted at 60 degrees for better access.
Surgical Technique: Detailed steps from trocar placement to anastomosis, including tips for mobilizing the upper pouch and managing the fistula.
Visualization: Improved view compared to open surgery, especially for complex cases.
Post-Operative Care: Managing chest drains, preventing hiatal hernias, and suture techniques to avoid strictures.
Cosmetic Outcomes: Minimal scarring and reduced risk of chest wall deformities.
Keywords
pediatric surgeryesophageal atresiathoracoscopysome4pedsurgfistulapedsurghistoryThoracoscopic