Re-thoracoscopy for the management of gastric conduit dehiscence after minimally invasive McKeown esophagectomy.

ABSTRACT:

Introduction and importance

Gastric conduit dehiscence after esophagectomy represents a severe complication associated with high mortality. Surgical management is achieved through thoracotomy, but often ends up in conduit sacrifice and diversion.

Case presentation

A 59-years-old man underwent minimally invasive McKeown esophagectomy for esophageal adenocarcinoma. After a worsening of the postoperative course and evidence at the CT scan and endoscopy of highly suspect gastric conduit failure, the patient underwent an exploratory thoracoscopy, which revealed a partial dehiscence of the gastric conduit treated with resection of the dehiscent gastric wall by a linear stapler on the guide of a 36-french orogastric tube. Patient had a regular postoperative course without any compl

SUBMITTER: Anoldo P 

PROVIDER: S-EPMC9845996 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature