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Minimally Invasive Management of Intrathoracic Leaks After Esophagogastrectomy

Department of Surgery, University of California, Irvine, Medical Center, Orange, California, ninhn{at}uci.edu

Marcelo W. Hinojosa, MD

Department of Surgery, University of California, Irvine, Medical Center, Orange, California

Christine Fayad, BS

Department of Surgery, University of California, Irvine, Medical Center, Orange, California

Samuel E. Wilson, MD

Department of Surgery, University of California, Irvine, Medical Center, Orange, California

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.

Key Words: esophageal cancer • laparoscopy • thoracoscopy • anastomotic leaks

Surgical Innovation, Vol. 14, No. 2, 96-101 (2007)
DOI: 10.1177/1553350607303210


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