Diaphragmatic herniation after thoracolaparoscopic esophagectomy for carcinoma of the esophagus: a report of six cases
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  • 作者:Jun Kanamori ; Takeo Fujita ; Hiroyuki Daiko
  • 关键词:Diaphragmatic herniation ; Minimally invasive esophagectomy ; Esophageal carcinoma
  • 刊名:Esophagus
  • 出版年:2016
  • 出版时间:January 2016
  • 年:2016
  • 卷:13
  • 期:1
  • 页码:88-92
  • 全文大小:522 KB
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  • 作者单位:Jun Kanamori (1)
    Takeo Fujita (1)
    Hiroyuki Daiko (1)

    1. Department of Esophageal Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Chiba, Kashiwa, 277-8577, Japan
  • 刊物类别:Medicine
  • 刊物主题:Medicine & Public Health
    Gastroenterology
    Pathology
    Thoracic Surgery
    Surgical Oncology
    Oncology
  • 出版者:Springer Japan
  • ISSN:1612-9067
文摘
Diaphragmatic herniation after esophagectomy for carcinoma of the esophagus is a rare postoperative complication. Several recent reports reveal that minimally invasive esophagectomy (MIE) with mediastinal reconstruction is associated with a higher incidence of herniation compared with open esophagectomy. Thoracolaparoscopic esophagectomy (TLE), also called “total MIE”, results in fewer peritoneal adhesions around the hiatal region of both the thoracic and abdominal cavities. This may cause abdominal contents to be taken up to the thoracic cavity. We report six cases of diaphragmatic herniation after TLE. Of these, five patients underwent surgical repair and one patient without symptoms is followed up carefully. In TLE, anchoring the gastric conduit to the hiatus is essential for preventing herniation. Keywords Diaphragmatic herniation Minimally invasive esophagectomy Esophageal carcinoma

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