What question did this study set out to answer?

To evaluate the feasibility, safety, and early clinical outcomes of a personalized esophageal anastomosis planned using preoperative three-dimensional CT measurements in neonates with type C esophageal atresia.

September 17, 2026Frontiers in SurgeryOpen Access

CT-guided three-dimensional reconstruction with predictive modeling for personalized esophageal anastomosis in type C esophageal atresia

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To evaluate the feasibility, safety, and early clinical outcomes of a personalized esophageal anastomosis planned using preoperative three-dimensional CT measurements in neonates with type C esophageal atresia.
Conducted a single-center case series of five consecutive neonates undergoing primary repair between January 2022 and December 2023.
Used multiplanar and 3D CT reconstructions to measure proximal and distal esophageal diameters, applying geometric calculations to guide the distal incision.
Assessed anastomotic diameter via contrast esophagography on postoperative day 7 and monitored patients across 12 months of follow-up.
Contrast esophagography on postoperative day 7 demonstrated a mean anastomotic diameter of 4.71 ± 0.43 mm.
One patient experienced an anastomotic leak requiring re-thoracotomy and repair, with zero cases of recurrent tracheoesophageal fistula.
Zero patients developed clinically significant anastomotic strictures requiring gastrostomy or repeated endoscopic dilatation during 12 months of follow-up.

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Implication

Case series reveals successful surgical repair without strictures in neonates with type C esophageal atresia, suggesting three-dimensional planning reduces postoperative complications.

Cite This Study

Lozovoy et al. (2026) studied this question.

synapsesocial.com/papers/6aabb6445f706d05830e49dc https://doi.org/10.3389/fsurg.2026.1871665

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Implication

Case series reveals successful surgical repair without strictures in neonates with type C esophageal atresia, suggesting three-dimensional planning reduces postoperative complications.

CT-guided three-dimensional reconstruction with predictive modeling for personalized esophageal anastomosis in type C esophageal atresia

Key Points

Discussion

Implication

Cite This Study

CT-guided three-dimensional reconstruction with predictive modeling for personalized esophageal anastomosis in type C esophageal atresia

Key Points

Discussion

Implication

Cite This Study

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