Esophageal Stent Insertion for Postesophagectomy Anastomosis Site Leakage.
In Ivor Lewis operation, anastomosis site leakage is a critical complication. Interventional approach utilizing covered metal stent has been introduced for the management of this complication. This patient was diagnosed as esophageal cancer and underwent robot-assisted Ivor Lewis operation. Due to symptoms suggesting anastomosis site leakage, video-assisted thoracoscopic surgery exploration was performed without identification of gross leakage site. On esophagogastroduodenoscopy, anastomosis site leakage was detected and esophageal stent was placed. Four weeks later, the stent was removed, and the patient could intake all his diet orally without discomfort. Esophageal stent insertion can be an option to manage postesophagectomy leakage problem.
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul, Korea.
Sang Yoon
SY
Kim
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul, Korea.
Chang Hyun
CH
Kang
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul, Korea.
In Kyu
IK
Park
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul, Korea.
Young Tae
YT
Kim
Anastomotic Leak; Esophageal Neoplasms; Esophagectomy; Postoperative Complications; Stents