@article{ref1,
title="Laparoscopic transhiatal esophago-gastrectomy after corrosive injury",
journal="Surgical Endoscopy",
year="2007",
author="Dapri, G. and Himpens, J. and Mouchart, A. and Ntounda, R. and Claus, M. and Dechamps, Ph and Hainaux, B. and Kefif, R. and Germay, O. and Cadière, G. B.",
volume="21",
number="12",
pages="2322-2325",
abstract="Esophago-gastric necrosis is a surgical emergency associated with high morbidity and mortality. We report a laparoscopic transhiatal esophago-gastrectomy performed on a 43-year-old male, presenting two hours after hydrochloric acid ingestion. A gastroscopy showed several oral mucosal ulcers, a significant edema of the pharynx and larynx, a necrosis of the middle and lower esophagus and of the gastric fundus and antrum. A conservative strategy with intensive care observation was initially followed. After a change of clinical signs, chest-abdominal computed tomography was realized and a pneumoperitoneum with free fluid in the left subphrenic space and bilateral pleural effusions was in evidence. A laparoscopic exploration was proposed to the patient, and confirmed the presence of free peritoneal fluid and necrosis with perforation of the upper part of the stomach. A laparoscopic total gastrectomy with subtotal esophagectomy was performed; the procedure finished with an esophagostomy on the left side of the neck and a laparoscopic feeding jejunostomy (video). Total operative time was 235 minutes. After six months a digestive reconstruction with esophagocoloplasty by laparotomy and cervicotomy was easily realized thanks to the advantages (few adhesions, bloodless, and simple colic mobilization) of the previous minimally invasive surgery.<p /><p>Language: en</p>",
language="en",
issn="0930-2794",
doi="10.1007/s00464-007-9559-3",
url="http://dx.doi.org/10.1007/s00464-007-9559-3"
}