Paraconduit hiatal hernia following minimally invasive oesophagectomy in an emergent setting

Autor: Thomas Zheng Jie Teng, Aung Myint Oo, Kon Voi Tay
Rok vydání: 2022
Předmět:
Zdroj: Indian J Thorac Cardiovasc Surg
ISSN: 0973-7723
0970-9134
Popis: Paraconduit hiatal hernia (PHH) remains a rare complication from oesophagectomies. Although minimally invasive oesophagectomies (MIO) for oesophageal cancer offer many advantages over open oesophagectomies (OO), the incidence of PHH appears to buckle this trend. As such, there is paucity in the current literature on the preferred approach as well as the management of PHH post-MIO. We present 2 emergent cases of post-MIO PHH. The laparoscopic approach of PHH repair appears feasible and safe even in the emergent setting. However, most advocate for the avoidance of emergent surgery altogether by astute care and prevention of PHH formation, or with early repair, if found asymptomatic PHH during surveillance scan.
Databáze: OpenAIRE