Minimally invasive management of intrathoracic leaks after esophagogastrectomy.
Enthusiasm for minimally invasive esophagectomy is increasing. When feasible, the laparoscopic and thoracoscopic Ivor Lewis esophagogastrectomy with construction of an intrathoracic anastomosis is favored. A potential catastrophic consequence of an intrathoracic anastomosis is a postoperative leak. In this review, the authors summarize the current understanding of the pathophysiology and the management of intrathoracic leak using minimally invasive surgical techniques.
Nguyen
Ninh T
NT
Department of Surgery, University of California, Irvine, Medical Center, Orange, California 92868, USA. ninhn@uci.edu
Hinojosa
Marcelo W
MW
Fayad
Christine
C
Wilson
Samuel E
SE
D000714:Anastomosis, Surgical; D004938:Esophageal Neoplasms / Q000601:surgery*; D016629:Esophagectomy / Q000009:adverse effects* / Q000379:methods; D005743:Gastrectomy / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D013906:Thoracoscopy