Emergency Laparoscopic Repair of Giant Left Diaphragmatic Hernia following Minimally Invasive Esophagectomy: Description of a Case and Review of the Literature
Joint Authors
Calò, Pietro Giorgio
Pisano, Giuseppe
Mura, Paolo
Erdas, Enrico
Canu, Gian Luigi
Gordini, Luca
Laconi, Giulia
Medas, Fabio
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-09-12
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Postoperative diaphragmatic hernia (PDH) is an increasingly reported complication of esophageal cancer surgery.
PDH occurs more frequently when minimally invasive techniques are employed, but very little is known about its pathogenesis.
Currently, no consensus exists concerning preventive measures and its management.
A 71-year-old man underwent minimally invasive esophagectomy for esophageal cancer.
Three months later, he developed a giant PDH, which was repaired by direct suture via laparoscopic approach.
A hypertensive pneumothorax occurred during surgery.
This complication was managed by the anaesthesiologist through a high fraction of inspired O2 and several recruitment manoeuvres.
The patient remained free of hernia recurrence until he died of neoplastic cachexia 5 months later.
Laparoscopic repair of PDH may be safe and effective even in the acute setting and in the case of massive herniation.
However, surgeons and anaesthesiologists should be aware of the risk of intraoperative pneumothorax and be prepared to treat it promptly.
American Psychological Association (APA)
Erdas, Enrico& Canu, Gian Luigi& Gordini, Luca& Mura, Paolo& Laconi, Giulia& Pisano, Giuseppe…[et al.]. 2018. Emergency Laparoscopic Repair of Giant Left Diaphragmatic Hernia following Minimally Invasive Esophagectomy: Description of a Case and Review of the Literature. Case Reports in Surgery،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1150366
Modern Language Association (MLA)
Erdas, Enrico…[et al.]. Emergency Laparoscopic Repair of Giant Left Diaphragmatic Hernia following Minimally Invasive Esophagectomy: Description of a Case and Review of the Literature. Case Reports in Surgery No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1150366
American Medical Association (AMA)
Erdas, Enrico& Canu, Gian Luigi& Gordini, Luca& Mura, Paolo& Laconi, Giulia& Pisano, Giuseppe…[et al.]. Emergency Laparoscopic Repair of Giant Left Diaphragmatic Hernia following Minimally Invasive Esophagectomy: Description of a Case and Review of the Literature. Case Reports in Surgery. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1150366
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1150366