title: Laparoscopic Gastropleural Fistula Repair: A Minimally Invasive Solution for a Complex Problem.
abstract: BACKGROUND
  Gastropleural fistula (GPF) is a complex pathology that can present as a result of surgery, trauma, peptic ulcer disease, malignancies, radiation, or chemotherapy. Management typically includes endoscopic or surgical intervention along with intraabdominal or intrathoracic drainage of pre-existing infection. Traditionally, surgical approaches have been through exploratory laparotomy or thoracotomy, subjecting already ill patients to additional morbidity.
  
  
  METHODS
  We describe and demonstrate a laparoscopic minimally invasive approach to the management of a GPF with a wedge resection of the stomach, along with a review of the current literature regarding GPF treatment.
  
  
  CONCLUSIONS
  GPF repair can be performed through laparoscopy and may lead to improved patient outcomes and faster recovery.
authors.affiliation: Division of Minimally Invasive Surgery, Department of Surgery, Center for the Future of Surgery, University of California San Diego , San Diego, California.
authors.forename: Ran B
authors.initials: RB
authors.lastname: Luo
authors.affiliation: Division of Minimally Invasive Surgery, Department of Surgery, Center for the Future of Surgery, University of California San Diego , San Diego, California.
authors.forename: Shanglei
authors.initials: S
authors.lastname: Liu
authors.affiliation: Division of Minimally Invasive Surgery, Department of Surgery, Center for the Future of Surgery, University of California San Diego , San Diego, California.
authors.forename: Jonathan C
authors.initials: JC
authors.lastname: DeLong
authors.affiliation: Division of Minimally Invasive Surgery, Department of Surgery, Center for the Future of Surgery, University of California San Diego , San Diego, California.
authors.forename: Garth R
authors.initials: GR
authors.lastname: Jacobsen
authors.affiliation: Division of Minimally Invasive Surgery, Department of Surgery, Center for the Future of Surgery, University of California San Diego , San Diego, California.
authors.forename: Bryan J
authors.initials: BJ
authors.lastname: Sandler
authors.affiliation: Division of Minimally Invasive Surgery, Department of Surgery, Center for the Future of Surgery, University of California San Diego , San Diego, California.
authors.forename: Santiago
authors.initials: S
authors.lastname: Horgan
mesh_terms: D004322:Drainage; D005260:Female; D018662:Fundoplication; D005747:Gastric Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005764:Gastroesophageal Reflux / Q000601:surgery; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D010995:Pleural Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D013902:Radiography, Thoracic; D018805:Sepsis / Q000209:etiology; D013270:Stomach / Q000601:surgery; D020775:Thoracic Surgery, Video-Assisted; D014057:Tomography, X-Ray Computed
keywords: Nissen; fistula; fundoplication; gastropleural; laparoscopic; thoracoscopic