Long-gap esophageal atresia is a serious surgical problem. Primary early esophageal anastomosis right after the birth is practically impossible in these patients. To preserve the patient’s esophagus the existing segments must be lengthened. The most popular method for lengthening segments of the esophagus is the method of mechanical traction. Until recently this method was implemented using thoracotomy. With the advent of the era of minimally invasive surgery the new opportunities have emerged that can make it possible to replace the traditional open approach with a thoracoscopic approach in most newborns with long-gap esophageal atresia. The study presents a new technique of «internal traction» of the segments of the esophagus. The described technique involves the thoracoscopic placement of traction sutures between the disconnected segments of the esophagus which helps to bring the ends of the esophagus closer to each other and makes it possible to perform an esophageal anastomosis. The procedure can be performed within a few days after birth in some cases avoiding gastrostomy. Thoracoscopic reconstruction of esophageal atresia with large diastasis is one of the most difficult endosurgical procedures; therefore it must be performed by a surgical team with extensive experience in the use of endoscopic methods.