title: Minimally invasive management of intrathoracic leaks after esophagogastrectomy.
abstract: 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.
authors.affiliation: Department of Surgery, University of California, Irvine, Medical Center, Orange, California 92868, USA. ninhn@uci.edu
authors.forename: Ninh T
authors.initials: NT
authors.lastname: Nguyen
authors.forename: Marcelo W
authors.initials: MW
authors.lastname: Hinojosa
authors.forename: Christine
authors.initials: C
authors.lastname: Fayad
authors.forename: Samuel E
authors.initials: SE
authors.lastname: Wilson
mesh_terms: 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