title: Thoracic aortic injury during laparoscopic fundoplication for reflux esophagitis.
abstract: A 72-year-old man with reflux esophagitis visited our department with a chief complaint of coughing at night. Since he had a large sliding esophageal hiatal hernia that was increasing in size, he underwent laparoscopic fundoplication. While dissecting the left side of the esophagus with laparosonic coagulating shears, the wall of the thoracic aorta started to bleed. The procedure was urgently converted to open surgery, and the pinhole aortic injury site was suture-obliterated. Thereafter Toupet fundoplication was performed, and the patient did not develop any postoperative complications. To our knowledge, only one other case of aortic injury unrelated to trocar insertion has been reported.
authors.affiliation: Department of Surgery, Jikei University School of Medicine, Nishi-Shinbashi 3-25-8, Minato-ku, Tokyo 105-8461, Japan.
authors.forename: Fumiaki
authors.initials: F
authors.lastname: Yano
authors.forename: Nobuo
authors.initials: N
authors.lastname: Omura
authors.forename: Kazuto
authors.initials: K
authors.lastname: Tsuboi
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Kashiwagi
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Yanaga
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000293:injuries*; D004210:Dissection / Q000009:adverse effects; D004942:Esophagitis, Peptic / Q000601:surgery*; D018662:Fundoplication / Q000009:adverse effects*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D013898:Thoracic Injuries / Q000209:etiology*