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

Case Reports in Surgery

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

Medicine

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