Thoracoscopic and laparoscopic esophagoplasty for congenital esophageal stenosis

A congenital esophageal stenosis (CES) is a rare anomaly, and therapeutic strategies are still controversial. Two children with CES located in the lower esophagus, who were treated by endoscopic esophagoplasty that consisted of partial esophageal resection and transverse anastomosis, are reported. A 23-month-old boy with CES at the level of T9 underwent esophagoplasty thoracoscopically. A 13-month-old boy with CES at the level of T10 underwent esophagoplasty followed by anterior partial fundoplication laparoscopically. Both patients are asymptomatic and eat normally 5 years and 6 months after surgery, respectively. Thoracoscopic or laparoscopic partial resection of the esophageal wall and transverse anastomosis are considered effective, less invasive, and safe in the treatment of CES.