Learning Curve and Early Outcomes of Thoracoscopic Esophageal Atresia Repair in an Emerging Pediatric Minimally Invasive Surgery (MIS) Program: A Cumulative Sum Analysis

Background

Thoracoscopic repair of esophageal atresia with tracheoesophageal fistula (EA/TEF) remains technically challenging due to the rarity of these procedures and the demanding intracorporeal suturing within the confined neonatal thorax. The aim of this study is to report the learning curve and early outcomes during the transition from open to thoracoscopic EA/TEF repair at a single center, evaluated using the cumulative sum (CUSUM) method.