Primary repair of esophageal atresia Gross type C via thoracoscopic magnetic compression anastomosis: Is it the best option?

Abstract

Magnetic compression anastomosis is a promising treatment option for patients with complex esophageal atresia; but, at the present time, should not be the first therapeutic option in those cases where the surgeon can perform a primary anastomosis of the two ends of the esophagus with acceptable tension.

Keywords: Esophageal atresia; Tracheoesophageal fistula; Thoracoscopy; Magnamosis; Magnetic anastomosis

Core Tip: Esophageal magnetic compression anastomosis or magnamosis consists of a non-surgical esophageal anastomosis performed with the use of magnets positioned into upper and lower esophageal pouches. The magnetic force applies compression on interposed tissues, resulting in spontaneous progressive esophageal anastomosis. It is a promising treatment option for patients with complex esophageal atresia; but, at the present time, should not be the first therapeutic option in those cases where the surgeon can perform a primary anastomosis of the two ends of the esophagus with acceptable tension.