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Two cases of thoracoscopic resection of esophageal duplication in children

Lena Perger1, Georges Azzie, Libby Watch

  • 1Department of Pediatric Surgery, University of New Mexico Children's Hospital, Albuquerque, New Mexico 87131, USA.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|September 14, 2006
PubMed

Insights

Thoracoscopic resection of esophageal duplication cysts is a safe and effective procedure. Long-term follow-up is recommended to monitor for pseudodiverticulum formation after surgery.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Thoracic Surgery

Background:

  • Esophageal duplication cysts are rare congenital anomalies.
  • Surgical resection is the standard treatment for symptomatic cysts.

Observation:

  • Two pediatric patients underwent successful thoracoscopic excision of esophageal duplication cysts.
  • Both patients recovered well and were asymptomatic at one month.

Findings:

  • Thoracoscopic resection is a safe and feasible approach for esophageal duplication cysts, even those with shared muscular walls.
  • One patient developed a pseudodiverticulum at the excision site 10 months post-surgery.
  • Intraesophageal endoscopic supervision during dissection is recommended to prevent esophageal injury.

Implications:

  • Complete excision of esophageal duplication cysts is achievable via thoracoscopy.
  • Consideration of muscular defect closure during surgery may prevent pseudodiverticulum formation.
  • Long-term surveillance is essential to detect post-operative complications like pseudodiverticulum.

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