Abstract：
Introduction: Esophageal atresia (EA) is a rare defect in the continuity of the esophagus, with the absent portion forming an upper and lower segment. Despite both thoracoscopic and conventional open repair (OR) techniques being well established worldwide, the literature remains unclear as to the comparison of surgical outcomes and efficacy of each procedure. Aim: To conduct a systematic review to determine which technique for EA repair, thoracoscopic or open, has the better outcome. Methods: A Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) compliant literature search returned 14 full text articles for analysis of demographic information and surgical outcomes. Results: Major comorbidities were more likely in the OR group (P < .05) with all other surgical outcomes comparable between the two groups. Conclusion: Overall, this systematic review highlights that the surgical outcomes of patients undergoing thoracoscopic repair for EA are comparable with those of the conventional OR.
摘要：
简介：食管闭锁（EA）是食管连续性的罕见缺陷，缺失部分形成上部和下部。尽管胸腔镜和传统的开放修复（OR）技术已在全球范围内得到广泛应用，关于每种手术的手术结局和疗效的比较,文献尚不清楚.目的：进行系统的审查，以确定EA修复的技术，胸腔镜或开放，有更好的结果。方法：符合系统审查和荟萃分析（PRISMA）的文献检索的首选报告项目返回了14篇全文文章，用于分析人口统计学信息和手术结果。结果：主要合并症更可能发生在OR组（P<0.05），所有其他手术结果在两组之间具有可比性。结论：总体而言，本系统综述强调,接受胸腔镜下EA修复的患者的手术结局与常规OR相当.
