Video-assisted Thoracoscopic Resection of a Congenital Tracheobiliary Fistula in a Neonate: Technical Report and Review of the Literature

Nicole A. Wilson, Zachary H. Douglas, Kelleigh Briden, Rachel Witt, Hafsa S. Lodhi, Sessions Cole, Baddr A. Shakhsheer, Katherine Dunsky

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Congenital tracheobiliary or bronchobiliary fistulae are rare developmental malformations associated with high morbidity and mortality primarily because of concomitant anomalies as well as delays in diagnosis. Technical Report: We report a case of a neonate who presented with bilious emesis and progressive respiratory failure requiring bronchoscopy and fluoroscopic bronchography for diagnosis with successful management through video-assisted thoracoscopic surgery. We also review the published literature on tracheobiliary fistula. Conclusion: Use of video-assisted thoracoscopic surgery for fistula resection has been reported in only one other neonate and provides a clinically less invasive option compared with open surgical ligation and resection. To our knowledge, this is the first English language report of thoracoscopic resection in a neonate with congenital tracheobiliary fistula.

Original languageEnglish
Pages (from-to)266-271
Number of pages6
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume32
Issue number2
DOIs
StatePublished - Apr 21 2022

Keywords

  • neonatal surgery
  • tracheobililary fistula
  • video-assisted thoracoscopic surgery

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